March 2016
Get the ICD-10 'Next Steps Toolkit'
Now that you have made the switch to ICD-10, you can look for opportunities to analyze your progress. By tracking and comparing key performance indicators (KPIs), you can identify and address issues with productivity, reimbursement, claims submission, and other processes.
To help you find and address issues, the Centers of Medicare & Medicaid Services (CMS) has released an ICD-10 Next Steps Toolkit that focuses on three ways to track and improve progress:
  • Assessing your ICD-10 progress using KPIs to identify issues that could affect productivity or cash flow
  • Addressing opportunities for improvement
  • Maintaining your progress and keeping up-to-date on ICD-10
Following are highlights of the Next Steps Toolkit:
Assess Your Progress
The first step to take when assessing your ICD-10 progress is identifying your KPIs. Use the CMS KPIs at a Glance resource to help you choose KPIs that fit your organization. Once you have a list of KPIs, you should establish a baseline, or point of comparison. For the purposes of assessing your ICD-10 progress, you will want to compare KPIs from before and after the October 1, 2015, transition date. If you do not have access to pre-transition KPI data, check for data available from outside sources like:
  • Clearinghouses
  • Third-party billers
  • System vendors  
Address Your Findings
Once you have established a baseline and gathered data to make comparisons, you can start addressing your findings.
  • Develop a feedback system that allows you to gather questions from staff
  • Check clinical documentation and code selection
  • Check for systems issues
  • Resolve any issues with payers
  • Conduct hospital chart audits  
Maintain Your Progress
ICD-10 updates take place annually on October 1, following the same timeline used for ICD-9 updates. Be sure to keep all your systems and coding tools up to date, and review the ICD-10-CM and ICD-10-PCS General Coding Guidelines on a regular basis. With quality reporting and other requirements, it is more important than ever that you update your coding resources at least annually.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website and for the latest news and official resources, including:
In addition, sign up for CMS ICD-10 E-mail Updates and follow CMS on Twitter.