1. ICD-10 Training Considerations for Physician Offices Joe Pajor Director, Revenue Cycle Norwalk Hospital

2. 9/30/2013 2 1.Define and classify your practice’s levels of training needs 2.Secure and/or develop training tools based on level of training need 3.Establish training timeline 4.Prepare training schedule 5.Execute plan 6.Review and evaluate success of initial training 7.Based on evaluations, prepare specific training follow up ICD-10 Training Considerations for Physician Offices

3. 9/30/2013 3 Task NameExamples List all positions within your practice including physicians and providers Physicians Billers Nurse assistants For each position, identify the depth and scope of training required Physician – Complete understanding of ICD-10 coding for our specialty and documentation specificity required Billers- Familiarity with ICD-10 coding conventions and code book Nurse assistants- General understanding of ICD-10 Based on training levels identified, determine training support tools required Physicians- Structured on line tutorial by specialty, prepare crosswalk sheets of frequently used ICD-9 codes compared to ICD- 10 codes Billers- Local seminar on ICD-10 coding conventions, Nurse Assistants- Overview presented at monthly staff meeting 1. Define & classify your practice levels of training need

4. 9/30/2013 4 Task NameTask Details to Consider Research and evaluate training tools via web site searches and if you employ a billing company, check with them for possible training tools Insure tools are geared for your specialty Consider all types training tools. i.e. tutorial, training books, flash cards Identify price ranges for each set of tools Identify for each level of training which tools make the best fit/value for your practice Consider each individual has their own method of learning Some like internet, should like structured discussions Secure or develop tools for training needs If you are arranging for seminars, keep in mind they may become sold out if demand escalates during 2013 so commit early If you develop your own tools, insure accuracy 2. Secure and/or develop training tools based on level of training need

5. Role Oct-Dec 2013 Jan-Mar 2014 Apr-Jun 2014 Jul-Sep 2014 Oct 1 2014 PhysiciansPlan and Secure Training Tools Begin Training Sessions Conduct Review Sessions Initiate sample dual coding to assess readiness Billing StaffPlan and Secure Training Tools Begin Training Session Nursing AssistantsPLANConduct Overview Session ICD-10 Go Live!! 3. Establish Training Time Line 5 9/30/2013

6. 6 Task NameTask Details to Consider By position levels, create a preliminary training schedule indicating month, date, and hours Based on complexity of training, insure you do not try to plan training too close to October 2014 However, remember training performed early in 2014 will be forgotten if not continually reviewed/reinforced up to October 2014 Review the preliminary training schedule with staff to insure no conflicts with vacations, coverage, etc. Reinforce training has to be 100% commitment Multitasking during training is not permitted May need to schedule after or before practice opens to public Finalize and distribute training schedule To secure buy in from staff that schedule is to be honored Prepare evaluation feedback sheet for each session To provide for objective feedback if material was understood Provide areas for suggestions to help learning process 4. Prepare Training Schedule

7. 9/30/2013 7 5.Execute Plan Coordinate training space, material needs Ask one staff member to insure all operational needs are met to insure successful training sessions Prepare a feedback loop to insure training status is reported 6.Review and evaluate success of initial training Based on evaluation sheets, determine if future planned training events need to be modified or added 7.Prepare further training sessions Continue reinforcement Identify specific target needs ICD-10 Training – More steps

8. Insure training schedule is not started too early or too late based on each position training needs and complexity Do not rely on just presenting written handouts and letting staff learn on their own If you have outside billing company, be sure to share your training program with them before finalized for input They may have training tools available for your use They may want to coordinate their training needs with your schedule Consider leveraging your training program with other physician practices where practical and/or logical Be sure you check the content of outside training seminars. There will be significant ICD-10 training programs offered in 2014 Some may be geared to hospitals, some may be geared to certified coders Select those geared to physician office practices. Factors to Consider in Training Program 8 9/30/2013

9. 9 Check on Google or Bing to Find Training Services A sample of sites found on Google: www.maximhealthinformationservices.com www.aapc.com www.medicalcodingbooks.com