Tips for Small Provider Practices to Plan for the ICD-10 Transition


CMS has published Tips for Small Provider Practices to Plan for the ICD-10 Transition

Although the final rule on the proposed ICD-10 deadline change has yet to be published, it is important to continue planning for the transition to ICD-10. The switch to the new code set will affect every aspect of how your organization provides care, but with adequate planning and preparation, you can ensure a smooth transition for your practice.

You should consider the following checklist to help keep your efforts on track with your transition:

Educate staff and leadership about ICD-10
Appoint an ICD-10 coordination manager and delegate a steering committee to manage the transition
Train staff on changes in documentation requirements from health plans and how this will affect work flow
Perform an impact assessment
Examine existing uses of ICD-9 codes in order determine aspects of work flow and business practices that ICD-10 will potentially change. Be sure to evaluate planned and ongoing projects as well
Create a list of staff members who need ICD-10 resources and training, such as billing and coding staff, clinicians, management, and IT staff
Plan a realistic and comprehensive budget
Estimate a budget that includes costs such as software, hardware, staff training, and any initial change in patient volume
Coordinate with external partners
Contact system vendors, clearinghouses, and billing services to assess their readiness and evaluate current contracts
Ask your vendors how they will support you in the transition to ICD-10 and request a timeline and cost estimate
Analyze existing health plan trading partner agreements
Get ready for testing
Request a testing plan to schedule from your vendor
Conduct internal testing within your clinical practice as well external testing with payers and other external business partners after you have completed the planning stages