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For CIOs

Healthcare Providers: Avoid Disruption From ICD-10 Migration

Best Practices For Sailing Through The ICD-10 Tsunami When Healthcare's Flow Of Money Will Be Disrupted

April 21, 2014

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Authors

  • By Skip Snow
  • with Alex Cullen,
  • Julian Keenan,
  • Abigail Komlenic

Why Read This Report

On October 1, 2015, the US Department of Health and Human Services mandate will come into effect and require all healthcare claims flowing to both public and private payers to be coded using the ICD-10 codes for diagnosis and procedures. The United States Congress, with the President's signature, moved the date for this migration to ICD-10, prior to that CMS had already moved the date twice. Migrating processes, knowledge, and systems from the simpler and less granular coding standards to the new ones affects the US healthcare system from end to end. How should a healthcare CIO help ensure a smooth transition from ICD-9 to ICD-10? While both payers and providers face great risks, this report focuses on provider risk and gives seven best practices a CIO should do in order to mitigate these challenges. Because the US Congress has given the industry this extra year the move to ICD-10 should be viewed as a business technology (BT) opportunity for those that were prepared and a respite to those that were not.

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Table of Contents

  • ICD-10 Conversion, Done Poorly, Puts Healthcare Providers At Risk
  • Seven Best Practices For CIOs Guiding Organizational Transition
  • Case Study — How Fletcher Allen Is Embracing ICD-10
  • RECOMMENDATIONS

  • Don't Look Myopically On ICD-10 Transition — Look For What's Next
  • Supplemental Material
  • Related Research Documents