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
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:
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.