Month: August 2015
Organizational Awareness Video Highlights latest NYP ICD-10 Readiness Efforts
On Tuesday, August 11, NYP, in its ongoing efforts to create an ICD-10 informed and insulated organization, will release its ICD-10 organizational awareness video in the NYP Learning Center. This video, assigned to all NYP employees’ transcripts, will explain the ICD-10 diagnosis and procedure coding system, its benefits, and how it may potentially affect your role at NYP.
On October 1, 2015 the United States and NYP will begin to describe the conditions of our patients and the services we provide to treat those conditions using a new healthcare language called ICD-10. The WORK we collectively do, the CARE we collectively provide, the GOALS we collaboratively strive to achieve, and the INITIATIVES we participate in to achieve them are all impacted in some way by ICD-10.
ICD-10 IS how we communicate to the outside world the acuity, complexity, the diversity of our patients. ICD-10 IS how we describe the SUPERIOR, HIGH QUALITY care that each of you provide every day. ICD-10 IS how we will be rewarded for that care in the form of payment from third party.
Please enjoy this video as NYP and the healthcare industry complete the transition to ICD-10.
Workgroup for Electronic Data Interchange (WEDI) issues results for latest ICD-10 Readiness Survey
The Workgroup for Electronic & Data Interchange (WEDI) has released the results of its latest (and likely last) ICD-10 readiness survey. The survey included responses from 621 respondents, consisting of 453 providers, 72 vendors and 96 health plans. Overall, the survey suggests that the predominant majority of hospital providers and insurance plans are or will be ready for the implementation date on October 1, 2015, an encouraging sign for the industry as it transitions to this new healthcare language of ICD-10. Some of the more noteworthy findings included:
- Hospital/health system testing and readiness: Almost 75 percent of hospitals and health systems have started or completed external testing. Additionally, nearly 90 percent responded that they were ready or would be ready by the compliance date, while a few were unsure if they would be ready.
- Health plan testing and readiness: Nearly 75 percent of health plans have begun or completed external testing. 40 percent responded that they were already prepared and the remaining 60 percent said they would be ready by October 1.
- Vendor product development and availability: 75 percent of vendor respondents have fully completed product development and no one responded that their products would not be ready by the compliance date.
- Physician practice testing and readiness: Only about 20 percent of physician practices have started or completed external testing and less than 50 percent responded that they were ready or would be ready for Oct. 1. This is cause for concern.
The full survey results and letter to the Department of Health & Human Services Secretary, Sylvia Matthews Burwell can be viewed here.
PMO Project Update: August
52 days to go – This is what I believe they call in the ICD-10 world – PLAYOFF TIME! The NCAA has March Madness and NYP and the rest of the industry are making their way through August Absurdity with September Insanity on the horizon. Our playoff beards are in full effect and no ingrown hair (ICD-10 Code L73.1 – Pseudofolliculitis barbae) is going to get in our way to the ICD-10 Champion ship on October 1.
Much of the industry also appears ready for life in a new healthcare language. As you can read in our industry and regulatory update, the most recent readiness survey issued by the Workgroup for Electronic Data Interchange (WEDI) seems to suggest that the majority of hospital providers and payers are or will be ready for October.
The NYP ICD-10 project comes into July at approximately 79% complete. A list of NYP’s most recent and cumulative accomplishments continues to move the organization closer to realizing the benefits of ICD-10 and much more.
- Enabling physician support of ICD-10 documentation requirements. ICDx, the Allscripts SCM customized documentation assistance tool has been embedded into the first two waves of document templates covering an average of more than 300,000 instances of documentation. The final phases will be implemented by the end of August. Faculty Practice Organizations (FPO) at both the Cornell and Columbia Campus continue to work cooperatively with the NYP Documentation Improvement Group as approximately 62% of all physicians have completed ICD-10 related documentation training. Finally, the ongoing implementation of electronic Superbill yielded its landmark milestone with the AIM practice at Columbia going live.
- Operationalize Dual Coding. Nearly 40,000 inpatient and outpatient cases have been coded in both ICD-9 and ICD-10 ensuring coders are getting adequate practice coding in ICD-10 and providing inventories for a multitude of financial and operational analyses as well as claim testing.
- Supporting Hospital operations with an ICD-10 ready technology and data infrastructure. Project governance has removed several barriers to identifying the affected report inventories and the organization has identified nearly 60 additional reports and successfully converted the first 9 reports. Continued efforts to successfully test all affected system-to-system interfaces is ongoing.
- Apply applicable financial reserves. Our Finance, Managed Care, and Decision Support groups have completed evaluating several solutions to monitor payer-specific reimbursement after October 1 with decision and implementation to be completed in the next 30 days.
- Create an ICD-10 informed and insulated organization. On Tuesday, August 11, a short 5-minute organizational awareness video will be placed on NYP employees transcripts in the NYP Learning Center. We encourage everyone to watch this video to understand ICD-10, its benefits and how its implementation can potentially affect different roles at NYP. The beginnings of operational readiness including guidance on ICD-10 specific financial clearance and the design of an ICD-10 Support Center will be defined and drafted in the next 30 days.
Other activities will continue to progress and expand under the assumption that no further delays shall occur. For a complete overview of the project status, click here to view the Project Scorecard.
Should you have questions about what you can be doing to get your department ready for ICD-10 or would like to request an in person presentation from the ICD-10 project team, please e-mail ICD10Help@nyp.org.