Five Best Practices To Prepare For ICD-10

Why is this important?

The looming ICD-10 transition, which will entail a staggering eightfold increase in the number of codes versus ICD-9, is complicated and challenging, requiring the seamless coordination of efforts by multiple departments across healthcare organizations with limited resources. The move to ICD-10 is in itself a challenge for any organization, but when combined with reduced government reimbursement rates, health reform requirements, employee layoffs, and heightened auditor scrutiny, it seems even more daunting. What are some best practices to ensure a successful ICD-10 transition given the challenging environment faced by hospitals and physicians? While the literature is replete with recommended top imperatives to properly address the challenge of ICD-10, most of these pieces have not provided insight into what hospitals are actually doing to prepare for ICD-10.

Research methodology

Our research, conducted during 2011-2012, included discussions with over 80 hospital organizations throughout the United States, review of numerous ICD-10-related requests for proposal (RFPs), an extensive literature review, and analysis of relevant presentations at healthcare conferences.

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