Medicare Compliance & Reimbursement - 2011 Issue 29
ICD-10 Readiness: Start Small When Prepping for ICD-10 Conversion, CMS Says
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Article Overview
This article covers CMS guidance on how physician practices should prepare for ICD-10 conversion, with an emphasis on starting with the most commonly seen diagnoses, updating internal workflow tools, and improving documentation. It also discusses broader readiness issues affecting Medicaid and other payers, plus CMS planning for claims that span the implementation date. The piece is relevant to physicians, coders, billing staff, EMR/EHR teams, and compliance professionals tracking ICD-10 transition readiness.
Why This Topic Matters
ICD-10 transition planning affects coding workflows, documentation quality, payer coordination, and claim submission processes. Understanding CMS readiness guidance helps organizations focus preparation efforts and anticipate operational issues tied to the implementation timeline.
Article Sections
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ICD-10 implementation strategies for physicians
CMS guidance on how physician practices can organize their ICD-10 preparation efforts and focus internal resources. The section addresses practice-level readiness planning, training, and workflow preparation.
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Non-Medicare payers are also prepping for conversion
An overview of readiness efforts outside the Medicare program, including state and non-required payer groups. The section discusses general implementation status tracking and conversion planning across different organizations.
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CMS will soon issue claims processing advice
A discussion of CMS planning for claims processing issues associated with the implementation date. The section focuses on operational considerations for claims that span the transition period.
What You Will Learn
- How CMS framed practical ICD-10 preparation for physician practices
- What areas of practice workflow were highlighted for transition planning
- Which broader payer readiness issues CMS said were still being monitored
- What kinds of claims processing questions CMS planned to address near the implementation date
Who Should Read This
- Physicians
- Medical coders
- Billing and claims staff
- Compliance professionals
- Practice managers
- Health IT and EMR/EHR teams
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