BC Advantage - 2012 Issue 11
ICD-10: Six Months Later, and We Still Have Questions
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Article Overview
This article discusses common ICD-10 implementation questions raised during a webinar and explains why the transition remains important even while the federal deadline was still being debated. It is aimed at practices, billing and office managers, and other healthcare staff preparing for operational, payer, and vendor changes tied to ICD-10. The article covers planning considerations, internal and external testing, payer participation, cash-flow preparation, and questions to ask vendors during the transition period.
Why This Topic Matters
ICD-10 readiness affected workflow, reimbursement, testing, and vendor coordination across a practice. Understanding the broad transition issues helps organizations plan ahead and reduce disruption during implementation.
Article Sections
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ICD-10 implementation timing and preparation
Introduces the uncertainty around the ICD-10 deadline and emphasizes the importance of continuing transition planning. It frames the article around readiness concerns for practices during the delay period.
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Top questions from the webinar
Summarizes the main implementation concerns raised by attendees and the general types of guidance provided. The section organizes the discussion around planning, staff readiness, testing, payer participation, payment timing, and vendor coordination.
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How do I start planning our transition?
Addresses the need to map out the areas of a practice affected by ICD-10 and to organize transition work into manageable steps. It points readers to planning resources and timeline considerations.
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What should I do if my staff isn't making the upcoming transition a priority?
Focuses on staff buy-in, operational impact, and the effect of transition changes on productivity and revenue. The section discusses how to communicate the importance of preparedness within the practice.
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Will we have a testing period for ICD-10, and when will it occur?
Covers testing expectations among payers, clearinghouses, providers, and vendors. It also discusses the need for internal and external testing as part of overall readiness efforts.
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I've heard some payers will not transition to ICD-10. Does this mean I need to submit my claims in both ICD-9 and ICD-10 formats?
Explains broad payer categories and the possibility that not all trading partners will move at the same pace. The section addresses format transition concerns for claim submission during the implementation period.
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Will we experience delays in payment from some payers?
Discusses the possibility of processing and reimbursement delays during implementation. It highlights general financial planning concerns related to maintaining office cash flow.
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How will my vendors' transition plans affect me?
Reviews vendor coordination topics and the types of questions practices may want to ask their software and service partners. The section focuses on readiness, testing, product availability, and support contacts.
What You Will Learn
- How ICD-10 deadline uncertainty affected transition planning for practices
- Why staff engagement and workflow preparation mattered during the ICD-10 transition
- What types of testing were discussed for ICD-10 readiness
- How payer readiness and payment timing concerns were framed
- What vendor-related questions practices were encouraged to ask during ICD-10 preparation
Who Should Read This
- Physician practices
- Billing and coding staff
- Practice managers
- Office administrators
- Healthcare vendors and clearinghouses
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