Conquering ICD-10-CM — Checklist
- ☐ Identify an ICD-10 coordinator(s.)
- ☐ Identify all vendors, systems and staff affected by the change.
- ☐ Identify all forms and practice templates that need to be updated.
- ☐ Estimate a budget, including cost associated with software, education.
Get Your Systems Ready
- ☐ Communicate with your vendor(s) and upgrade to the version that supports ICD-10.
- ☐ Confirm vendor(s) have uploaded ICD-10-CM codes.
- ☐ Confirm that system vendors, clearinghouses and/or billing services will support changes to new code system.
- ☐ Query your most frequent commercial insurance payers regarding their timing or testing.
Paper Charts or EHR Readiness
- ☐ Work with vendor to upgrade your claims submission system to support new CMS 1500 form and electronic data interchange (EDI) format.
- ☐ Participate in ICD-10 test week, March 3-7.
- ☐ Strikethrough or delete unspecified codes which are not payable codes from system.
- ☐ Identify opportunities for improved documentation in chart templates and EHR to support ICD-10.
- ☐ Run diagnosis-productivity report by physician.
- ☐ Convert most frequently reported codes to ICD-10.
Process and Document Readiness
- ☐ Order CMS 1500 forms, mandated for April 1 implementation.
- ☐ Request and review insurance policies and prior-authorization requirements with new ICD-10 codes.
- ☐ Create electronic libraries of diagnosis code options.
- ☐ Update all templates and other forms that previously used/followed ICD-9 codes.
- ☐ Develop superbills or charge sheets.
Physician and Staff Training
- ☐ At least 30 days prior to implementation, start identifying the appropriate ICD-10 code for each procedure, but submit the ICD-9 code for payment.
Resource: Review AAOE Q&A section.
- ☐ Oct. 1, 2015: Begin reporting ICD-10-CM codes.