1. Progress Report: Industry Readiness for 5010/ICD-10 Implementation Joe Miller January 19, 2010

2. Survey On-Line Web Survey Distributed by HIMSS Nov-Dec Polling Timeframe Total Usable Responses – 256 –Facilities = 69% –Practices = 18% –Other = 13%

3. 5010 Findings

4. Have a specific 5010 project with staffing and resources identified December 2010 May 2010

5. My Organization Adequately Understands the... 1 2 3 4 5 6 7 Strongly Disagree Strongly Agree... 5010 Timeline... 5010 Changes Nov. 09 4.4 May 5.0 Nov. 09 3.5 May 4.5 Dec 5.3 Dec 4.9

6. Approach for 5010 Compliance Upgrade Use ClearingHouse Replace Replace for MU* Don’t Know 16% 66% 8% 19% 8%

7. Plan to Start Testing with Trading Partners 30% 20% 13% 33% Q1 Q2 Q3Q4 or Don’t Know 2011 % of Providers Responding “Yes”

8. Obstacles for 5010 Testing Payers Not Ready Competition for Resources Vendors Not Ready Clearinghouses Not Ready 67% 53% 50% 47%

9. Competing Initiatives EHR Meaningful Use Other Tech. Projects Business Initiatives External Pressures – Fed/State Regulatory 66% 56% 40% 35%

10. Calculus for Problems Most Complex Solution – Upgrade (66%) + Competition for Resources (53%) + Delays in Test Scheduling (46%) = Inadequate Testing

11. Impact of Inadequate Testing Test Externally and Implement Remediate And Test Internally 2010 201320122011 Remediate And Test Internally Test Externall y and Impleme nt ICD-10 Stabilize ICD-10 Stabilize The Plan THE REALITY!

12. GetReady5010.org

13. Objectives Call attention to 5010 and the timeline for testing and implementation. Provide practical information to assist providers in planning and executing their 5010 testing, Support vendors (clearinghouses) and payers in effectively coordinating with their provider trading partners for 5010 testing.

14. GetReady5010 Sponsors Formal Informal CMS, AHIP, BCBSA

15. Plans  Initial January Webinars to kick off the 5010 transition year  March 15-17 “5010 Test Education Week”  Post-March - ?????

16. Initial 3 Day Program  January 11 5010: An Industry Update  January 12 5010: A Getting Started Primer  January 13 Preparing for 5010 Testing

17. Huge Response

18. Mark Your Calendar 5010 Test Education Week March 15-17 A Series of Free Webinars on: Basics of 5010 Testing with External Trading Partners Developing a Test Plan Early Provider Experiences with Testing Testing with CMS and Commercial Payers Working with Your Clearinghouse

19. ICD-10 Findings

20. Have a specific ICD-10 project with staffing and resources identified May 2010 December 2010

21. “My Organization’s ICD-10 Preparation to Date” Started/Comp. Impact Assessment Started to Make changes 54% 16% 14% 19% 69% 22% 24% 10% Have Approved Budget Have Not Considered Dec. 2010 May 2010

22. Approach for ICD-10 Compliance Upgrade Use XWalk Leverage Meaningful Use Replace 21% Not Considered 11% 83% 33% 39% More Organizations Looking for Synergies 21%

23. Contact Joe Miller AmeriHealth Mercy jmiller@kmhp.com