decisionhealth Newsletters, Part B News - 2013 Issue 11 (November)
ICD-10 update: Some payers aren’t ready, but you can do lots of testing alone
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Article Overview
This article covers practical ICD-10 preparation steps for healthcare providers in a period when CMS and many private payers are not fully cooperating with testing efforts. It explains the general areas of readiness work involved, including internal workflow review, interface assessment, outreach to trading partners, peer-group collaboration, and use of consulting or testing services. It is relevant to practices, billing and coding staff, EHR users, and organizations planning for ICD-10 implementation.
Why This Topic Matters
The article helps readers understand how to continue preparing for ICD-10 even when full payer testing is not available. That makes it useful for practices that need to assess readiness across systems, documentation, and external partners before a transition deadline.
Article Sections
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Coding
Introduces the ICD-10 readiness and testing issue, including the broader implementation timeline and the challenges affecting provider preparation.
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Will CMS help? Probably not
Discusses the limited role of CMS in testing and the implications for providers that must prepare without broad federal support.
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First, check yourself
Focuses on internal preparation, including staff readiness, documentation review, EHR capabilities, and system-interface assessment.
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Call partners now
Covers outreach to external trading partners and the challenges of arranging testing with payers and clearinghouses.
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Find a peer group
Describes the value of professional and specialty groups for sharing experience and identifying common testing issues.
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Get help
Reviews options for outside assistance, including consulting support and testing programs that evaluate readiness and documentation processes.
What You Will Learn
- How ICD-10 readiness planning is affected when payer testing is limited
- Which internal systems and workflows should be reviewed during preparation
- Why outreach to payers, clearinghouses, and other partners matters
- How peer groups and specialty organizations can support testing efforts
- What kinds of outside testing and consulting resources may be available
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physicians
- Health IT teams
- EHR implementation teams
- Revenue cycle staff
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