It’s Your Move
USING GAMING AND SIMULATION EXERCISES IN ICD- 10 PLANNING
By Allison Viola, MBA, RHIA
FROM DIAGNOSES CODING, software development and deployment, and payment change the transition to ICD-10-CM/PCS will revolutionize healthcare and health information. Each sector within the
industry is coming to understand the scale of the change, but many have yet to fully understand and
appreciate how all the elements are linked together and how they must integrate across the industry.
The different sectors continue to work in silos.
Key Action Prioritization
THE GROUP SCORED a list of imperatives for relative importance based on the level of impact each activity would have on
the identified business imperatives. The key action steps fell into one of three major category areas: process and workflow
improvement, technology (systems and automation), and education and training.
Major Activity Categories
Process
Technology
Training
Technology
Technology
Training
Process
Training
Technology
Technology
Technology
Process
Process
Process
Process
Technology
Process
Technology
Technology
Key Action Steps
Streamline physician documentation process
Install clinical documentation tools
Conduct broad awareness
Ensure vendors are ready
Upgrade or replace internal IT
Conduct ICD- 10 training for clinicians
Streamline clinical data reporting
Conduct ICD- 10 training for HIM
Integrate systems (interoperability)
Deliver rules, alerts, editing capability
Test systems
Streamline (pre-)registration workflow
Streamline coding workflow (IP, OP)
Streamline clinical documentation improvement workflow
Streamline billing workflow
Assess payer and associate status
Streamline claims adjudication and resubmission process
Rewrite reports
Obtain longitudinal patient data analysis capability
Max
93%
91%
86%
80%
80%
80%
78%
75%
73%
73%
61%
61%
53%
53%
52%
46%
46%
46%
37%
