Health Information Management

Despite training increase, hospitals still behind in ICD-10 readiness

APCs Insider, October 11, 2013

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Small and mid-sized hospitals are increasingly preparing themselves to code in ICD-10 when it becomes the standard October 1, 2014, though they may still face a large claims backlog after implementation.

That’s the main takeaway from a recent survey of 200 hospital administrators, hospital health information professionals, and compliance employees by Health Revenue Assurance Associates (HRAA). The survey, representing the respondents’ readiness one year prior to implementation, was a follow up to research conducted in April 2013.

According to the survey:

  • 78% have begun ICD-10-CM training for coding staff, compared to last quarter’s 60%
  • 64% have begun ICD-10-PCS training for coding staff, compared to last quarter’s 45%
  • 68% have begun document improvement education for medical staff, compared to last quarter’s 53%
  • 76% plan to dual code prior to October 1, 2014, compared to last quarter’s 69%

“It is clear that ICD-10 is happening, and significantly more hospitals have begun programs since April,” said Andrea Clark, chairman and CEO of HRAA. “This is vital, as coder productivity is expected to decrease by more than 70%with the transition. The better trained a hospital’s staff is, the more of a chance they can beat these estimates.”

Despite the increase in internal testing, the survey also showed that hospitals lag behind CMS’ recommended timeline for testing and evaluation with payers. Approximately 85% do not know if their payers are planning to map claims using CMS reimbursements maps to group claims to DRGs. CMS recommends starting external testing by this month in order to be ready for implementation.

In addition, 46% of respondents said they did not plan to begin dual coding until at least April 2014. In the April 2013 survey, that number stood at 40%. CMS recommends starting dual coding no later than January 2014.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Most Popular