Editor's note: In 2011 we're celebrating MRB's 25th birthday with special content each month. For October, we've put together a report on the latest quarterly benchmark survey findings, this time on ICD-10 implementation efforts. Just a few of the highlights from the report are included below.
No industry or profession is immune to the budget crunch. Unfortunately, many coding departments fall into a routine and neglect to assess their costs and look for innovative ways to save money.
With 46% of survey respondents anticipating revenue losses from the ICD-10 transition, it may appear illogical that only 3% of healthcare leaders say they are already prepared to make this transition. However, the reason behind the unpreparedness is quite understandable. With mounting mandates and competing priorities, healthcare leaders say they cannot free up the manpower or financial resources needed to get this initiative under way.
According to a survey on coder productivity published in the May edition of MRB, 83% of those with remote coding programs reported that coder productivity either remained the same or increased after a remote coding program was implemented at their facility. That's great news for those considering establishing a remote coding program. And there are many reasons to do so, both for your coding staff and for your hospital.
The staff at St. Francis Hospital-the Heart Center in Roslyn, NY, recognize that ICD-10 is more than a one-person job, which is why Elizabeth Heller, RHIA, HIM director, and Adelaide M. La Rosa, RN, BSN, CCDS, clinical documentation improvement (CDI) program director, are cochairing efforts.
Coding productivity will decrease at least initially with the switch to ICD-10-CM/PCS. Coders will also need complete, accurate documentation to take advantage of the new code set's increased specificity. So HIM and coding managers need to know how productive their coders are and the extent of their clinical knowledge base, as well as how accurately and completely physicians are documenting.
Jean Stone, RHIT, CCS, has never met some of the coders who report directly to her. She has, however, spoken with them by phone, and in some cases, she has seen their wedding or other photographs. This is because nearly all members of her department work remotely.
ICD-10 will affect every system within your hospital. So said Mary Rita Hyland, RN, BS, MBA, assistant vice president of regulatory affairs and chief privacy officer for The SSI Group, Inc., in Mobile, AL, during the March 21 HCPro, Inc., audio conference, "ICD-10 Vendor Readiness: Build Your Game Plan Now." Providers have a significant task ahead of them and a small window within which to accomplish it, Hyland said. And that means taking a good hard look now.
