To assist health care providers, the Centers for Medicare & Medicaid Services (CMS) has outlined some basic steps for preparing for the ICD-10 transition.
- Identify current systems and work processes that use ICD-9 codes, including clinical documentation, encounter forms/superbills, practice management systems, electronic health record systems, contracts and public health and quality reporting protocols.
- Talk with the practice management system vendor about accommodations for ICD-10 codes. Check the contract to see if upgrades are included as part of the vendor agreement. Providers in the process of making a practice management or related system purchase should ask if it is ICD-10 ready.
- Discuss implementation plans with all clearinghouses, billing services and payers, including when they will be ready to test their systems.
- Talk with payers about how ICD-10 implementation might affect contracts.
- Identify potential changes to work flow and business processes, including clinical documentation, encounter forms and quality and public health reporting.
- Assess staff training needs. Identify the office staff who are responsible for coding and those who require knowledge of the new codes.
- Budget for time and costs related to ICD-10 implementation, including expenses for system changes, software updates, resource materials and training.
- Conduct test transactions using ICD-10 codes with payers and clearinghouses. Check when they will begin testing and which test days they have scheduled.