1 HSCRC ICD-10 Hospital Survey Information Exchange II May 28, 2015.

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HSCRC ICD-10 Hospital Survey

Presentation transcript:

1 HSCRC ICD-10 Hospital Survey Information Exchange II May 28, 2015

30 Survey Respondents Consisting of…  5 TPR Hospitals  1 Specialty Hospital  24 Other Acute Hospitals 2

Powered by 90% of the organizations will be ready to transmit ICD-10 transactions by October 1, 1015

Powered by 57% Completed Their ICD-10 Impact Assessment

Powered by When Do You Expect to Complete Business Changes (documentation and workflow redesign) for ICD-10 implementation?

6 Do You Intend to Conduct External Testing? Answer ChoicesResponsesCount Yes, with a sample of payers53.33%16 Yes, but only with clearinghouses26.67%8 Yes, with a majority of payers20.00%6

Powered by What is your expected date to begin external testing?

Powered by With whom have you planned or completed your external testing? (multiple selections allowed)

Powered by 63% of the Respondents Have Performed Medicare Testing

10 What Are Your Top Three Obstacles That Have Caused Delay and/or Lack of Progress in ICD-10 Planning and Implementation? Answer ChoicesResponsesCount Competing internal priorities63.33%19 Uncertainty around further delays in implementation date 63.33%19 Significant IT Impacts36.67%11 Staffing36.67%11 Availability of test data36.67%11 Health Plan Readiness Concerns26.67%8 Vendor Readiness Concerns26.67%8 Budget20.00%6 Other3.331

Powered by How do you plan to produce ICD-10 codes?

Powered by Have You Developed a Contingency Plan if You are Not Ready to Submit Transactions by October 1, 2015?

Powered by Do You Plan to Code Outpatient Services Using ICD-10 PCS as well as CPT Codes? (This is not a requirement for the October 1, 2015 implementation).

14 HSCRC ICD-10 Payer Survey Information Exchange II May 28, 2015

15  100% of the payers completed their formal impact assessment/gap analysis  Over 55% of the payers completed their business process design development (incl. processes such as medical management, claims revenue, etc.  100% of participants will process split claims the same as the CMS’ policy (for services that span the October 1, 2015 transition date, providers are required to split the services into two claims (one claim representing the services provided prior to October 1, 2015 using ICD-9 codes and one claim for the services on or after October 1, 2015 using ICD- 10 codes), depending on the type of service).

What is your estimated date to start internal testing of fully functional ICD-10 processing?

Do you intend to conduct external testing?

What Is Your Estimated Date to Begin External Testing?

Do You Plan to Perform External Testing with Maryland Institutions? (multiple selections allowed)

What Are the Top 3 Obstacles/Issues That Have Caused Delay and/or Lack of Progress in ICD- 10 planning and implementation?

What Is Your Primary Strategy for ICD-10 Claims Processing?

57% of the Respondents Developed a Contingency Plan if They Are Not Ready by October 1, 2015