Physician Champion Community of Practice June, 2015 ICD-10 Physician Champion Questionnaire

Q1: Are you confident that your organization will be ready to conduct transactions using ICD-10 by October 1, 2015? Answered: 30 Skipped:

Q1: Are you confident that your organization will be ready to conduct transactions using ICD-10 by October 1, 2015? (Cont’d) Answered: 30 Skipped: 0 No (Please explain) – Late start given difficult EMR launch and transition in CIO – Not sure about my vendor's ability – No training for physicians so far – Not sure if EMR and billing providers will be ready – I do not feel we've had adequate training – No physician training yet 3

Q2: Based on the October 1, 2015 compliance date, when will your staff be trained? (Select one or more responses if applicable) Answered: 30 Skipped:

Q3: Is your organization able to submit claims electronically? Answered: 30 Skipped:

Answered: 30 Skipped: 0 Q4: What types of ICD-10 resources and training have you utilized?

Q5: Have you received ICD-10 training? Answered: 27 Skipped:

Q6: Have you participated in clinical documentation improvement (CDI) initiatives? Answered: 29 Skipped:

Q6: Have you participated in clinical documentation improvement (CDI) initiatives? (cont’d) If yes, have you incorporated the improvement ideas into your office practice? – 12 responses 5 No 5 Yes 1 N/A 1 In progress 9

Q7: Have you participated in any of the following ICD-10 activities? Answered: 23 Skipped:

Q8: How many of your practice’s common health conditions have you coded in both ICD-9 and ICD-10? Answered: 30 Skipped:

Q9: In what ways have you helped your colleagues’ transition to ICD-10? Training PowerPoint Prep work Serving on committees and work with committees Seminars Continue to colleagues inform the need for training Communications- posters, job aids Working with residents to prepare Monthly physician education Weekly talks Research, Q&A Discussed with partners 12

Q9: In what ways have you helped your colleagues’ transition to ICD-10? (cont’d) Coordination for the physician/nurse practitioner education Provided online web training and in person training Advised training team Developed a comprehensive algorithm Multiple calls to realize the transition date is on the way, encouraging clients to check their networks, vendors, billing/coding companies, affiliated facilities for readiness Planning curriculum for residents Constant reminders to colleagues on the need for training as well as preparedness Education Training, information, Q&A 13

Q10: Do you have any success stories or lessons learned to share? If yes, please write below: Answered: 29 Skipped:

Q10: Do you have any success stories or lessons learned to share? (cont’d) If yes, please write below: – When people hear that injury codes exist in both ICD-9 and ICD-10, they change their perspective. When they hear that not all unspecified codes will be denied, they change their perspective. When they hear that a lot of diagnoses cannot be captured and remain unspecified (Ex. Ebola, intracardiac thrombus.), they change their perspective. When they understand that laterality alone covers a third of the new codes, they change their perspective. – Start by reminding doc he does not need to become a coder. – Go on EMR 15

Q11: Do you have any tips on how to make the transition to ICD-10 easier for small physician practices? If so, please write below. Train staff early Get the right EMR. Start NOW to double code and use trial submissions with vendors Standards for office vocabularies using the EHR. Most EHRs these days, use a third party vocabulary to bridge between ICD-9, ICD-10 and SNOMED-CT. Make sure your billing software is ready for the transition. Ask them to pick pout their 25 common codes. Then work with them to code them. Start coding 10 records a week in ICD-10 Peer support Consider specialized software solutions 16

Q11: Do you have any tips on how to make the transition to ICD-10 easier for small physician practices? If so, please write below. (cont’d) Use the web.. yes there are coding books but the internet is so helpful CMS website. Start early. Put aside 6 months cash reserves to cover overhead after start date, start double coding now. Training, 17

Q12: Which type(s) of trainings do you feel are critical to the ICD-10 transition? Answered: 30 Skipped:

Q12: Which type(s) of trainings do you feel are critical to the ICD-10 transition? (cont’d) Other (please specify) – Office is different than hospital (coders query doctors). For office doctors, through an automated process, it would be great if feedback to physicians about what is "missing" or "lacking" in the codes they select so they can improve (Ex. catch the electronic diagnosis that are "inappropriate in the edits" and bounce them back as educational tool.) – Coding only for coders, and billers, schedulers to extent, doctor needs more on documentation 19