1. ICD-10 Provider Readiness Survey Results, November 2012

2. contents purpose demographic of respondents
demographic of specialty type
key findings & recommendations
next steps
survey highlights by provider type

3. purpose
In 2012 from mid-November to mid-December, an ICD-10 Provider Readiness Survey was sent out to Blue Shield of California’s (Blue Shield’s) physician and provider network to assess key indicators for ICD-10 adoption on October 1, 2014.
Survey findings from 2012 yielded two key themes which we will outline in further detail in subsequent slides. They are:
Providers reliance on practice management systems to select ICD-10 codes.
Providers’ concern regarding ICD-9 to ICD-10 translation or mapping, versus their ability to send a compliant claim

4. survey response demographics: provider type
*Fax & postal mail outreach results were excluded, due to a .5% response rate.

5. survey response demographics:
specialty type

6. survey results findings- electronic medical records (eMR)
Of the PPO providers who responded:
Providers are relying heavily on the functionality of the practice management system to aid in transitioning medical records to ICD- 10 coding.
Blue Shield’s recommendations
We recommend that in addition to using practice management systems for electronic medical/health records, that you make a separate effort to educate, train, and certify your coding/billing staff. Or, verify that your billing service is planning to have their staff certified in ICD-10 CM and PCS code sets.
We also recommend assessing your coding/billing staff’s competency in ICD-9 Clinical Modification (CM)to learn how to tailor the ICD-10 CM training plan as a best practice. Since the ICD-10 Procedure Coding System is new, training and review of all associated medical policies is also strongly recommended.

7. survey results findings- ICD-9 to ICD-10 mapping
Of the PPO providers who responded:
Providers are more concerned with ICD-9 to ICD-10 mapping and translation tools versus their ability to send a compliant claim.
Blue Shield’s recommendations
We encourage you to participate in testing opportunities, when possible.
If your practice/facility is unable to test directly with Blue Shield, we also recommend that you consider joining the ICD-10 California Collaborative. Their aims is to bring stakeholders in the healthcare together to address ICD-10 related challenges and to develop best practices for communication/outreach, education/training, and testing.

8. Next Survey May 2013 provider survey next steps
Work with specialty professional associations to reach out to providers listed in the demographic section (slides 4-5) to encourage and increase survey responses.
Blue Shield of California is a founding member and holds leadership roles within the CA ICD-10 Collaborative, which aims to bring stakeholders in the healthcare together to address ICD-10 related challenges and to develop best practices for communication/outreach, education/training, and testing.
Next Survey May 2013

9. Appendix- Survey highlights by provider type

10. survey highlights- ancillary groups
25% of Ancillary groups have implemented an eMR system
Of the 75% of Ancillary groups that do not have an eMR system, 40% will have implemented an eMR by the October 1, 2014 date.
Ancillary group’s concerns regarding obstacles to ICD-10, rank order:
Understanding code use in billing- 45%
Costs related to implementation- 20%
System programming implementation in time for compliance-15%

11. survey highlights- clinics
5% of Clinics are not very confident they will be ready by October
39% of Clinics have implemented an eMR system
Of the 61% that do not have an eMR system, 41% will have one implemented by the October 1, 2014 date.
Clinic’s concerns regarding obstacles to ICD-10, rank order:
Understanding code use in billing- 48%
Costs related to implementation- 24%
System programming implementation in time for compliance-16%

12. survey highlights- providers
15% of respondents are rural providers.
67% of rural providers plan to send all or 50 – 100% claims electronically by October 1, 2014.
95% of respondents are in groups of less than 5 practitioners.
27% of providers have not started planning or implementation for ICD-10.
36% of Practitioners have an EMR system. Of the 35% of practitioners that do not have an EMR, 48% are planning to implement EMR by October 1, 2014.
68% of providers who responded plan to send % of claims electronically by October 1, 2014.
Provider’s concerns regarding obstacles to ICD-10, rank order:
Understanding code use in billing- 45%
Costs related to implementation- 15%
System programming implementation in time for compliance-11%