ICD-10

Implementation Guide

Step 1: Organizing the Implementation Effort

Hospitals should form a steering committee or team to oversee the ICD-10 strategy and planning implementation process. Key responsibilities for this committee include:

  • Implementing goals and timelines
  • Assessing the implementation impact
  • Determining the impact of affected functional areas
  • Assigning various tasks
  • Educating and training for information systems staff and coding staff on coding sets

The ICD-10 Steering Committee may vary according to the organization's implementation needs. To ensure the plan is appropriately coordinated across departments, each team should have sponsorship and support from a senior-level manager.

Representation should include members from the following departments:

  • Billing
  • Compliance
  • Finance
  • Health Information Management/Coding
  • Information Systems and Technology
  • Revenue Cycle Management

Resources

The following resources are targeted towards helping organize the ICD-10 effort:

  • ICD-10 Implementation – No Time to Delay …Click here to access.
  • Your ICD-10 Planning Starts Now. Click here to access.
  • HIPAA Code Set Rule: ICD-10 Implementation, An Executive Briefing. Click here to access.

Step 2: Planning and Implementation Analysis

The planning and impact analysis should be completed by the end of first quarter 2010. Monthly meetings should be held to facilitate the process which involves developing:

  • An awareness campaign
  • A facility-wide inventory of your information systems
  • An assessment of vendor readiness
  • A "Master To-Do List"
  • An evaluation of health plan contract implications
  • A prepared budget

Resources

The following resources are targeted towards helping your organization with planning and implementation analysis:

  • Your ICD-10 Planning Starts Now. Click here to access.
  • HIPAA Code Set Rule: ICD-10 Implementation, An Executive Briefing. Click here to access 

Step 3: Implementation

The implementation process should be addressed at biweekly meetings. The compliance date is October 1, 2014. Implementation involves:

  • Review resource requirements
  • Develop metrics to measure implementation progress
  • Review the testing and validation of system changes
  • Evaluate systems to determine what needs to be transitioned or replaced
  • Oversee the physician training on documentation
  • Monitor workflow volumes to avoid backlogs

Step 4: Post-implementation

The ICD-10 Steering Committee monthly meetings should be ongoing to:

  • Evaluate the success of the implementation
  • Review the reports of coded data quality
  • Evaluate the need for continued staff training
  • Review of coded data to ensure that cases continue to be reimbursed at the same rate or grouped to the same MS-DRG they would have been with ICD-9-CM