Approaching ICD-10
as a Team
We’ve had ICD-10
classes in our curriculum since 2009. In
the fall of 2013, with the initial deadline looming, participants were signing
up in significant numbers.
During a trip to
Dallas, following a series of ICD-10 beginner classes, I was struck by the
attitude of participants signing in for the sessions. The attitude was BAD. I have never before experienced such a
thing. Coders and Billers were angry,
frustrated, ready to retire, or change careers.
WOW!
I made it a point to
come back at the end of the class to get a read on how the day went and make
sure no one had slit their wrists. To my
relief, there was no blood on the floor…quite the opposite. The class was laughing and cutting up, and
you could tell there was a sense of relief.
WHAT?
I was able to hold
the group back for a moment, and have a discussion about what happened between
9am and 4pm. Almost without exception,
each participant said the same thing. This
isn’t going to be that bad. So much
“grey” had been removed. It will be much
easier to “dial-in” the correct code.
BUT…Again, without
exception, every coder realized through the process of learning ICD-10 and the
DOCUMENTATION needed to support the new more “specific” code, their providers
were not DOCUMENTING ICD-9 correctly. YIKES!
I brought this
information back to our management team and to the faculty meeting the next
Monday. We set out with a mission to
gauge the Dallas audience to find out whether or not it was an anomaly. It was NOT.
For the next several
Mondays, faculty members who taught an ICD-10 class in the preceding week
reported the same response from audiences.
We’ve always known documentation was an issue, but that wasn’t the
surprise. The surprise was that because
of ICD-10 looming, the office had a real incentive to get it right. Get it right in preparation for ICD-10, but
also take advantage of getting it right currently for ICD-9.
With ICD-10 delayed
till October 1, 2015, PMI has taken the past few weeks to fall back, re-group
and prepare for how to move forward.
Moving Forward
ICD-10 is monumental
shift for the Healthcare industry. Even
the statement doesn’t do it justice.
Seldom does a change like this impacts the ENTIRE Healthcare world. Each and every entity within the healthcare
sphere, must adopt the new language we all must speak. We realize that for most practices, this is
one of the bigger changes the business might have every gone through, hence the
angst mentioned above. Sadly, we have
also ascertained from the very same audiences mentioned that most practices are
relying on vendors to make it alright...HOLY SMOKES!
Since this change
impacts the entire “Healthcare System” in the US, and because it certainly
impacts everyone and every system within your practice, we’ve elected to create
a program focused on getting YOUR TEAM ready for the transition.
The number ONE
comment made on evaluation forms at the conclusion of a class is, "I wish
my provider was here." Since our ICD-10 Training Classes began, we’ve only
taught one job function at a time. We’ve
either focused on the coding or the management perspective. Providers for the most part have been done in
very short brief overview sessions. We realized it was essential to have the
entire team present.
With the TEAM
approach, we’ve created a class for the coder, the manager and the
provider. It is a way for individuals to
understand each person’s role and responsibility in preparing for ICD-10 as
well as work together to actively prepare a plan for implementation. I
encourage you to visit the PMI Website to find out more about the ICD-10 Transition TEAM Training.
At the end of the
day, our goal is to help you to gain the tools you need to:
Train together,
implement together, and succeed together.
David
Thanks for following and sharing!
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