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Progress Report: Industry Readiness for 5010/ICD-10 Implementation

Progress Report: Industry Readiness for 5010/ICD-10 Implementation. Joe Miller January 19, 2010. Survey. On-Line Web Survey Distributed by HIMSS Nov-Dec Polling Timeframe Total Usable Responses – 256 Facilities = 69% Practices = 18% Other = 13%. 5010 Findings.

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Progress Report: Industry Readiness for 5010/ICD-10 Implementation

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  1. Progress Report: Industry Readiness for 5010/ICD-10 Implementation Joe Miller January 19, 2010

  2. Survey • On-Line Web Survey • Distributed by HIMSS • Nov-Dec Polling Timeframe • Total Usable Responses – 256 • Facilities = 69% • Practices = 18% • Other = 13%

  3. 5010 Findings

  4. Have a specific 5010 project with staffing and resources identified December 2010 May 2010

  5. My Organization Adequately Understands the . . . 1 2 3 4 5 6 7 . . . 5010 Timeline May 5.0 Dec 5.3 Nov. 09 4.4 Strongly Disagree Strongly Agree Nov. 09 3.5 May 4.5 Dec 4.9 . . . 5010 Changes

  6. Approach for 5010 Compliance Upgrade Use ClearingHouse Replace Replace for MU* Don’t Know 66% 19% 8% 8% 16%

  7. Plan to Start Testing with Trading Partners % of Providers Responding “Yes” 33% 30% 20% 13% Q1 Q2 Q3 Q4 or Don’t Know 2011

  8. Obstacles for 5010 Testing Payers Not Ready Competition for Resources Vendors Not Ready Clearinghouses Not Ready 67% 53% 50% 47%

  9. Competing Initiatives EHR Meaningful Use Other Tech. Projects Business Initiatives External Pressures – Fed/State Regulatory 66% 56% 40% 35%

  10. Calculus for Problems Most Complex Solution – Upgrade (66%) + Competition for Resources (53%) + Delays in Test Scheduling (46%) = Inadequate Testing

  11. Impact of Inadequate Testing 2010 2011 2012 2013 Remediate And Test Internally Test Externally and Implement Stabilize ICD-10 The Plan THE REALITY! Test Externally and Implement Stabilize ICD-10 Remediate And Test Internally

  12. GetReady5010.org

  13. Objectives • Call attention to 5010 and the timeline for testing and implementation. • Provide practical information to assist providers in planning and executing their 5010 testing, • Support vendors (clearinghouses) and payers in effectively coordinating with their provider trading partners for 5010 testing.

  14. GetReady5010 Sponsors Formal Informal CMS, AHIP, BCBSA

  15. Plans • Initial January Webinars to kick off the 5010 transition year • March 15-17 “5010 Test Education Week” • Post-March - ?????

  16. Initial 3 Day Program • January 11 5010: An Industry Update • January 12 5010: A Getting Started Primer • January 13 Preparing for 5010 Testing

  17. Huge Response 5,000 Registrants Over 3,000 participants per day Exceeded Webinar Capacity Don’t assume everyone knows about 5010!

  18. Mark Your Calendar 5010 Test Education Week March 15-17 • A Series of Free Webinars on: • Basics of 5010 Testing with External Trading Partners • Developing a Test Plan • Early Provider Experiences with Testing • Testing with CMS and Commercial Payers • Working with Your Clearinghouse

  19. ICD-10 Findings

  20. Have a specific ICD-10 project with staffing and resources identified December 2010 May 2010

  21. “My Organization’s ICD-10 Preparation to Date” Started/Comp. Impact Assessment Started to Make changes 69% 54% 24% 16% Have Approved Budget Have Not Considered 22% 14% 10% 19% Dec. 2010 May 2010

  22. Approach for ICD-10 Compliance Upgrade Use XWalk Leverage Meaningful Use Replace 21% Not Considered 83% 39% 33% More Organizations Looking for Synergies 21% 11%

  23. ContactJoe MillerAmeriHealth Mercyjmiller@kmhp.com

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