CMS has released an infographic and statement for guidance on how to address questions and concerns with ICD-10 post implementation. The infographic asks Providers to assess, address, and maintain their progress with the ICD-10 transition. And the statement encourages Providers to create a feedback system that reviews clinical documentation and code selection processes, systems problems, and issues with payers. During the initial implementation of ICD-10, CMS offered guidance on how to assess ICD-10 progress with key performance indicators (KPIs). They showed providers how to establish baselines for KPIs, such as days to final bill.
Now that we are months in from ICD-10 implementation, CMS has offered more guidance. The most recent guidance provided by CMS is the feedback system. The feedback system helps CMS to help you (the provider) with issues and concerns your organization may have with ICD-10 implementation. Below are some tips from the CMS guidance infographic and statement.
Why develop a feedback system:
- Establish a process for gathering feedback from your staff
- Develop a method for sharing observation and progress with ICD-10 transition
- Create a comprehensive list for all staff members to document changes
- Track specific issues and share the status and steps taken to resolve them
What a feedback system can help you with:
- Focusing on target areas and resolve the issues related to those areas – Such as with clinical documentation and code selection.
- Understanding how staff chooses diagnosis codes and apply guidelines -By comparing “post” and “pre” documentation.
- Identifying systems and technical issues – By now all codes should be updated to using ICD-10 codes for services provided.
- Resolving issues with payers – CMS has created this Medicare/Medicaid Provider Contact List for your convenience, if you are having problems with medicare/medicaid Fee-for-Service specific KPIs.
You may or may not be having issues with post ICD-10 implementation. However, CMS encourages all providers to look for resources that can help you gain or maintain success. There is an extensive amount of resources provided by the government and CMS, but it may be a good idea to find a partner that can help you work through and use those resources well. Partner with Intuitive RCM and Practice Success teams and see how we can help you with audits, systems, processes, and training for continued post ICD-10 success. Avoid coding problems today!