ICD-10 Preparation Checklists and Primer

ICD-10 preparation hecklists are frameworks for thorough planning, discussions, and designing long before money has to be spent on consultants and health information technolgy (HIT). Use a checklist or waste time and money. "Failing to plan is planning to fail."

♦ implementation deadline date– October 1, 2013

Checklist links
CMS ICD-10 Overview, 70-page PDF/PPT includes links to AHA, AHIMA, CDC, CMS

Ingenix version

American Health Information Management Association (AHIMA) version

"It is not too early to begin planning for the transition from the Ninth revision to the Tenth; there isn’t much time for putting those plans in motion."

♦ Authors Sue Bowman, RHIA, CCS and Ann Zeisset, RHIT, CCS, CCS-P

Since the notice of proposed rule-making (NPRM) has been published establishing the timeline and expected implementation date, educate all people in the target audiences on key requirements of this rule.

Bowman and Zeisset developed for AHIMA a checklist for a phased approach to implementation. The four phases are
♦ Phase 1– Impact Assessment [daunting details]
 ◊ four major tasks
 ◊ target audience (16 groups)
 ◊ goals (13 primary, four sub-goals).

♦ Phase 2– Overall Implementation
 ◊ three major tasks
 ◊ target audience (seven groups)
 ◊ goals (seven primary, six sub-goals).

♦ Phase 3– Live use preparation
 ◊ six major tasks
 ◊ target audience (six groups)
 ◊ goals (five primary, two sub-goals).

♦ Phase 4– Post-implementation (HIT forensics)
 ◊ four major tasks
 ◊ target audience (eight groups)
 ◊ goals (eight primary, three sub-goals).

AHIMA ICD-10-CM Primer

This AHIMA web page describes ICD-10-CM and –PCS as providing "the level of detail needed for morbidity classification and diagnostic specificity. Both also provide code titles and language that complement accepted clinical practice."

♦Authors Ann Barta, MSA, RHIA; Gale McNeill, RHIA, CCS; Peggy Meli, PhD, MS, RHIA, LHRM; Kathleen Wall, MS, RHIA; and Ann Zeisset, RHIT, CCS, CCS-P.

Sections include
♦ Comparing ICD-9-CM and ICD-10-CM
♦ Code Structure of ICD-10-CM versus ICD-9-CM
♦ ICD-10-CM Structure
♦ Differences between ICD-10-CM and ICD-9-CM
♦ Organizational Changes
♦ New Features
♦ ICD-10-CM Code Examples and
♦ Learning the ICD-10-CM System.

AHIMA recommends downloading the
♦ ICD-10-CM index
♦ tabular
♦ guidelines and
♦ general equivalence mapping files
General Equivalence Mappings (GEMs) are crosswalks between the -9 and -10 code sets; GEMS may be a major challenge to ICD-10 implementation.

These are on the National Center for Health Statistics or the CMS ICd-10 Overview websites.

AHIMA also recommends
♦ improve your clinical pathophysiological and human anatomy knowledge "to be more prepared for ICD-10"
♦ learn the physiological mechanisms of diseases and treatments
  [One title is Clinical Pathophysiology Made Ridiculously Simple by Aaron Berkowitz.]

New codes brings changes

HHS also mandated adopting new standards for electronic transactions essential to use the ICD-10 system. HIPAA transactions 5010 is replacing the 4010 version.

♦ implementation date– January 1, 2012

ICD-10-CM and ICD-10-PCS are replacing the ICD-9-CM code set.

♦ there are very few 1:1 crosswalks (General Equivalence Mappins) because of the greater number and specificity (anatomical, pathophysiological) of –10 codes compared to –9 codes. The following links land on details about GEMs
CMS document
CDC document
AHIMA document

The new ICD-10 code system has more than 155,000 codes to accommodate advances in diagnoses and procedures and will represent significant changes for
♦ practicing physicians
♦ hospitals
♦ third-party payers
♦ business associates
♦ clearinghouses and
♦ software vendors.