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As the ICD-10 deadline approaches, we are finding a wealth of information on ICD-10 preparation from a variety of expert sources, which we wanted to share with you to use in your own preparations.

ICD-101: What It Takes to Plan Successful ICD-10 Training
ICD-10 Watch, Apr 29, 2013

Blog author Carl Natale summarizes Michelle Leppert‘«÷s observations on training from AHIMA ICD-10 and CAC Summit in Baltimore, including:

– Many physicians are getting inaccurate information from the media and medical associations. Medical coders need to be a source of accurate information and instruction.

– Building trust with physicians is a vital step in educating physicians.

– Very interesting cost estimates from Torrey Barnhouse, founder and president of TrustHCS, who talked about a survey of 300 hospitals last year:

– Average overall budget for coding education: $323,256

– Projected spending for each medical coder: $15,000

– 33 percent will rely on web-based education for medical coding

– 75 percent plan to have CAC systems by 2015

Read the full article at

How Medical Practices Can Prepare for ICD-10 Testing
ICD-10 Watch, Apr 22, 2013

The ICD-10 Watch blog also offers tips on ICD-10 testing from the National Pilot Program, designed to help healthcare organizations be thoroughly prepared for ICD-10 implementation. The implementation is going to require rigorous testing.

According to the Centers for Medicare and Medicaid Services (CMS), medical organizations should expect three levels of testing, and provides multiple steps within each level:

Level 1 – Internal testing of systems and preparation for testing with trading partners.
Level 2 – Testing in a “production-like environment” that isn’t exactly like day-to-day production.
Level 3 – This is end-to-end testing with trading partners.

CMS has complete?Štesting checklistsfor smallproviders.

Read the complete article at

ICD-101: How Much ICD-10 Training Are You Going to Need?
ICD-10 Watch, Apr 22, 2013

Without endorsement, ICD-10 Watch provides the outline of the ICD-10 training and education courses offered by the American Healthcare Information Management Association (AHIMA). Here is an abbreviated version of that outline:

AHIMA ICD-10 training

1. Organization wide education (especially non-coding staff)

– Awareness, preparation and awareness (up to three hours)

– Practical training (four hours)

2. Coding training

– Awareness (three to six hours)

– ICD-10-CM training (28 hours)

– ICD-10-PCS training (23-28 hours)

– Practice (AHIMA plans four hours per course)

3. Coding training for specialty settings

– Awareness (three to six hours)

– ICD-10-CM training (28 hours)

– Practice (AHIMA plans four hours per course)

Read the full article at

Get to Know the ICD-10-PCS Root Operations, April 9, 2013 reports on how to understand the ICD-10-PCS root, saying that choosing the correct root operation may be one of the most challenging aspects of ICD-10-PCS according to experts. They offer sample of definitions in the medical and surgical section of ICD-10-PCS to help jumpstart your preparations‘«™

How to Prepare For ICD-10 the Right?ŠWay, April 10, 2013,?ŠBrandon?ŠBetancourt

Administrator Brandon Betancourt gives a good overview of how to prepare for ICD-10 the right way in this blog post, saying that a recent AMA publication concluded that the two biggest challenges with implementing ICD-10 will be having the necessary system upgrades completed and staff training, but he sees one important piece of the preparations that is not getting enough mention is the potential cash flow issues that can occur during this transition‘«™

Read the full post at

Study: 36% of ICD-10-CM Codes Include Convoluted Mapping Networks
Becker‘«÷s ASC Review, Heather Linder,?ŠMay 7, 2013

Researchers from the University of Illinois at Chicago conducted a study to map the impact of the ICD-10-CM transition between clinical specialties, according to a report in the?ŠJournal of the American Medical Informatics Association.

Overall, 36 percent of the codes include convoluted mappings, ranging from 5 percent of hematology to 60 percent of obstetrics and injuries. Twenty-seven percent of emergency department costs are linked to convoluted diagnoses.

Read the complete article at

Seven Tips to Ensure a Smooth ICD-10 Practice Transition
For the Record, May 7, 2013, Aleksander Romanychev

Author Aleksander Romanychev offers seven points related to people, processes, and professionalism to consider during the ICD-10 transition, including:

1. Establish a realistic budget and costs for ICD-10 implementation.

2. Identify potential changes to workflow and business processes.

?Š3. Know the code.

4. Use EMR ICD-10 compliant software.

?Š5. Test.

6. Maintain 99% reimbursement following ICD-10.

?Š7. Transition partnerships.

Read the complete article at

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