ICD-10 Implementation: How we got here

ICD-10 Implementation: How we got here ICD ICD-CM ICD-PCS ICD is the classification used to code and classify mortality data from death certificates. ICD-CM is used to code and classify morbidity data from the inpatient and outpatient records and physicians offices. ICD-PCS is the procedure classification system for use in the US for inpatient hospital settings. 1990 ICD-10 was endorsed in ICD-10 May 1990 by the 43rd World Health Assembly and came into use by WHO Member States starting in 1994. 100 Currently it is used by more than 100 countries arou nd the world. HHS Secretary Kathleen Sebe- lius issued a press release on April 9, 2012, announcing Other countries already using ICD-10-CM: United Kingdom-1995 a proposed rule that would delay the compliance date for ICD-10 from October 1, 2013, France-1997 Australia-1998 Germany-2000 to October 1, 2014. Canada-2001 The comment period is now closed. Public comments are being reviewed and analyzed, and the Depart- The United States ment will issue a final rule as expedi- began using ICD- 10 for classifying causes of death in *1999. tiously as possible. ICD-9 VS. ICD-10 ICD-10-CM ICD-9-CM 3-5 Characters in length 3-7 Characters in length Approximately 13,000 codes Approximately 68,000 codes Character 1 is alpha; Characters 2 and 3 are numeric; characters 4-7 are alpha or numeric First character may be alpha (V or E) or nu- meric, characters 2-5 are numeric Flexible for adding new codes Limited space for adding new codes Very specific Lacks detail Has laterality (i.e. identifying right vs. left) Lacks laterality CM 13,000 PCS 4,000 68,000 87,000 Ready? Or not? In December 2011, The Centers for Medi- 79% of providers were care and Medicaid Services surveyed pay- taking steps to prepare for ers, providers, and vendors about ICD-10 the ICD-10 transition and preparation. At that time, the implementa- 82% believed they will be tion deadline was still October 2013: compliant by the deadline 78% of vendors were pre- paring for the ICD-10 tran- sition and 75% felt they would be compliant by the deadline Results from a survey by HealthEdge released in 88% of payers were prepar- early July showed that now only ing and believed they will 61% of payers believe they will be compliant by the dead- be ready to meet the October line 2014 deadline In February 2012, when the implementation deadline was still Oc- tober 2013, 1,000 hospitals were surveyed by the American Hos- pital Association about ICD-10 readiness: 42 % of hospitals had completed an implementation plan 61 % of hospitals were ready or on track in preparing information systems % of hospitals were reaching out to 65 staff physicians to educate them about ICD-10 and training them to 77 % of hospitals had initiated improve clinical documentation. training plans for coding staff Even with a delay, it's time to Work Smarter, Not Harder Claims Denials Backlogs Excessive Physician Queries Disruption to Physician Workflow Negative Financial Impact Early Preparation and Planning Impact Assessment Gap Analysis Education and Training IT Systems Upgrade Implementation Budget Coordinate with external partners Get ready for testing CIPROMS SOURCES: http://www.dproms.com/NewsEvents/tabid/65/tagid/13/ICD-10-Updates.aspx http://www.healthedge.com/pages/news_events/press_releases/120709-2012 Market Survey.htm https://www.ams.gov/Medicare/Coding/ICD10/Downloads/ReadinessAssessmentSummary-pdf http://www.beckershospitalreview.com/racs-/-icd-9-/-icd-10/34-statistics-on-hospitals-and-icd-10-readiness.html https://www.ams.gov/Medicare/Coding/ICD10/downloads/ICD-100verview.pdf http://www.cdc.gov/nchs/icd/Icd1o.htm http://www.who.int/classifications/icd/factsheet/en/index.html