Friday, October 2, 2015

The Early Experience of ICD10

Many in the press have asked me about the first few days of ICD10.   The answer for my institutions, like many, is that other than a few small refinements, the impact has been unnoticeable.

We trained 850 ambulatory clinicians in comprehensive ICD10 code entry and all are entering electronic billing tickets using the new vocabulary.

All our provider order entry systems have Medicare Advanced Beneficiary Notification logic using ICD10 and our clinicians are using it.

Every financial system is able to process both ICD9 and ICD10 to support patients who were admitted on 9/30 and discharged on 10/1

We added some subtle post go live modifications to decision support logic, ensuring all ICD10 codes are supported and we modified some very esoteric charge entry items directly related to the transition day.

Our ICD10 go live scorecard listed only 5 minor issues across all sites which our local teams were able to review and quickly close.

Congratulations and thanks to all involved in this extremely smooth go live.   Our next steps will be monitoring the coding of the initial inpatient cases and payer submissions along with watching reimbursements over the next 60 days.   We’ve done all we can to prepare.  Let’s hope the ecosystem around us can process our transactions with the same resilience.

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