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Pulse on the Industry: Results from Our Latest ICD-10 Survey

by Shivani Mishra, Senior Product Marketing Associate

In a recent survey of over 800 Epocrates users, 50% said they are currently worried about being prepared for the ICD-10 deadline, up 13% from a November 2014 survey. In digging into the survey data further, we found a few specific areas that seem to be contributing to this feeling of unpreparedness. Below are some of the key findings and helpful tips to incorporate into your readiness plan so you can feel more confident as we march toward October 1st.

Twenty-two percent of providers say their biggest concern with the ICD-10 transition is a decline in productivity.

  • Update your clinical workflows. You want to make sure your encounter workflows and accelerators have been evaluated based on changes to the ICD-10 code set.
  • As a provider, keeping documentation time low is critical, therefore you don't want to be searching for the right codes after October 1st. Become familiar with how your top diagnosis codes are impacted today and how diagnosis search will change in your EHR.
  • As a part of training, you will also want to make sure you include practice coding on real patient encounters with ICD-10 codes. This will help you identify where you may be slowed down and need to focus a bit more on training before the transition date.
  • Make a plan between your office staff and clinical teams to address any workflow or productivity concerns early. 

Thirty-seven percent of providers say their biggest concern with the transition is revenue disruption.

Reach out to your revenue cycle vendor(s) and see what they are doing for payer testing. athenahealth is conducting payer testing on behalf of the entire network; we have been conducting direct outreach with payers, scheduling testing engagements and have over 80% of payer volume in testing – (check out our ICD-10 Knowledge Hub). In addition, the athenahealth 2015 PayerView Report found that ICD-10 payer testing engagements vary greatly both in quality and consistency. For this reason, it's important to know  your vendor risk mitigation plan for post-transition to keep cash flow moving.

Here are a few questions to ask:

  • Do you know which payers are ready to accept ICD-10 codes?
  • How will you monitor denial trends?
  • How often will you be updating billing rules to ensure any new denials don’t happen again?
  • Is there a contact you can reach out for issues post ICD-10?

In a best case scenario, you should try to schedule a follow-up call now so you have time identified to address claims issues post October 1st transition. Lastly, it is still a good idea to set aside funds for cash flow disruption to account for increase in denials and delayed payments that are likely to occur after October 1st.

Since ICD-10 requires a multi-faceted approach to readiness, even if you are way behind, you can continue to make progress towards a smoother transition. It’s never too late to get started and whatever you do now will make things easier down the road. Be sure you know how your partners can help and be certain now that you have the right partners and tools in place to be successful on October 1st


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Ideas, insights and analysis to help physicians, medical groups and health systems stay informed and profitable in today's challenging health environment.

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Comments

Submitted by Michelle Mangino - Friday, September 11, 2015

Hi Lena, The change will happen in the October or November timeframe. We will provide more updates and specifics as they become available. Michelle Mangino Editorial Manager, CloudView blog athenahealth

Submitted by Lena Lewis - Thursday, September 10, 2015

When will Epocrates change for Icd9-Icd10?

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