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CloudView blog

Ideas and insights to help health care providers stay informed and profitable in today's challenging health care environment.

ICD-10 Transition: What to Expect From Vendors

by Jennifer Bale, Senior Associate, Product Marketing

When many folks think of the word ‘hub’ around these northern parts, their minds immediately jump to the city of Boston, aka “The Hub.” Well, we have created a ‘hub’ of our own, and while this one doesn’t include the New England history and legend that Boston offers, it does deliver answers and insight into some of the more complicated government regulations and mandates in health care today. We call it the “Knowledge Hub.” Having recently launched with sections on electronic health records (EHRs), Meaningful Use and ICD-10, we have plans to expand on additional topics later this year.

But now let’s move on to the good stuff – a taste of our Knowledge Hub content! – Michelle, Social Media Manager

Since there is no ‘Angie’s List’ or ‘Consumer Reports’ for the health care IT market, it may not always be clear what you should expect from a service or offering. When a government mandate has a drop-dead transition date (like ICD-10), you cannot afford to settle when it comes to your vendors and their support and responsibility as part of this transition process. For this reason, we took some best practices and ideas, along with some great suggestions from CMIO Industry News, to compile a list of questions you should be asking your vendor(s):

  1. What is covered by your contract?
    This is the easiest place to start determining what you can expect your HIT vendor to do ease the ICD-10 transition.
  2. What is your plan and timeline for the ICD-10 conversion?
    Every vendor should have a comprehensive preparation plan, including an ICD-10 implementation and testing period—if you or your vendor find there's a hiccup in their process on October 1, 2014, it's way too late.
  3. How will systems work with both ICD-9 and ICD-10 codes?
    Your vendor should send the right codes to the right payers and clearinghouses, based on their varying readiness schedules. Plans should be in place to automatically avoid medical billing errors during the transition.
  4. What does the ICD-10 implementation process include?
    As part of ICD-10 implementation, workflows, interfaces and reporting should all be tested and refined without any disruption to your current claim submissions.
  5. What is the cost associated with training and support?
    With the financial impact of ICD-10 being felt throughout the industry, it's vital to know exactly who much a practice or medical group may be charged for ICD-10 training and support.
  6. Will we need extra software or infrastructure?
    Speaking of costs, ICD-10 may require vendors to implement new software updates, and possibly new hardware as well. Know what to expect, understand the potential costs, and work both into your time and financial budgets for 2013 and 2014.

It's also important for you, as a medical practice, to think about any vendors you may have: Which will be impacted by the ICD-10 conversion? What kind of technology upgrades does each require? How will new claims be tested, and what are the costs and fees associated with ICD-10 implementation that will have you ready by the October 1, 2014 deadline?

Want to read more on ICD-10? Visit our complete ICD-10 Knowledge Hub.

In addition to sharing what any vendor should be doing, we want to share what we’re doing for our clients to support their ICD-10 transition. That’s why we created a ‘How We Support You’ page on our website, detailing our ICD-10 plans – check it out.

Finally, we are also offering an ICD-10 guarantee, unparalleled in the industry, promising that we’ll be ICD-10 ready for clients—and then some. For the 4-1-1 on our ICD-10 Guarantee, watch this quick 3-minute video:

Check back for more Knowledge Hub highlights next month.

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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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