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Beyond the Coding: Manage the Impact of ICD-10


Home health and hospice providers are fast learning that ICD-10 implementation requires far more than coders learning the new diagnosis codes. It has significant implications for your agency’s technology, processes and people.  If you are to survive ICD-10’s October 1 activation, you must make the most of the time you have left to adopt one of the most significant changes ever experienced by healthcare organizations.

Simione Healthcare Consultants can help you achieve the necessary milestones to succeed and minimize the risks to your organization, offering consulting services and workshops by Laura J. GramenellesRN, BSN, HCS-D, COS-C, Director and AHIMA Approved ICD-10-CM Trainer, and Suzanne B. Sblendorio, BSN, MA, Director, Information Technology, on a schedule that meets your unique implementation needs.  They offer this tip to help you verify arrangements with your vendors and clearing houses:

Get a written ICD-10 implementation Plan from each of your vendors and clearinghouses.  This includes your enterprise system, interfaced applications, pharmacy and telehealth systems, and data warehouses.  Be proactive and ask for it.  Each plan should include an ICD-10 roadmap and services, including: 

  • The date the vendor will deliver ICD-10 related changes for testing
  • Whether both sets of codes, ICD-9 and ICD-10, will be available and for how long
  • If a crosswalk between ICD-9 codes and ICD-10 codes will be provided and when
  • How they will handle any interfaces you currently have
  • A description of any ICD-10 training and support to be made available
  • How legacy ICD-9 data will be accommodated for reporting and trending
  • What the contingency plan is if the vendor is not ready for “go live” by October 1