June 2011: Volume 37, Number 6
ICD-10 Readiness Assessment Questions for Vendors and Providers
- Can your vendors provide written proof of compliance or their detailed planning process?
- Are hardware upgrades necessary?
- What is the process for handling ICD-9 claims after October 1, 2013?
- What are the top ICD-9 codes and the corresponding ICD-10 codes for the lab?
- Is there an implementation timeline?
- Is there an appointed ICD-10 transition team leader to monitor readiness?
- What is the most efficient and productive way to educate staff and physicians?
- Who is responsible for updating forms with new diagnosis codes?
- How will the communication be structured to gain maximum distribution?
- Does the organization participate in a research study or registry? If so, how will reporting change?
- Does the organization have worker’s compensation claims? If so, will the state’s claims administrator be ICD-10 ready?
- Who will monitor claim denials after the transition?
- Will there be reporting mechanisms in place to enable claim payment continuity?
- Will there be resources to alert providers of abnormal payment or denial activity?
- Will more staff resources be necessary to process denials?
- How will diagnosis comparison reports across 2012 and 2013 be integrated?
Sources: North Carolina Healthcare Information and Communications Alliance, Inc. and Centers for Medicare and Medicaid Services.