1 ADVANCE for Executive Insight

evenue cycle management
Remember that the simplest claim submission
under ICD-10 looks like a medium
complexity submissions in ICD-
9. As painful as it is to think about that,
there will be more than 300 ways to
code a diabetes claim.
How about a complex one?
Eliminate Bottlenecks
What are the bottlenecks in the processes today? Is it technology?
Is it workflow? Is it personnel? Look at everything that is happening
today with the idea that it is going to take 25 percent more resource
allocation to do it tomorrow. Can 25 percent be found in
the process today? Can it be re-engineered to be more efficient?
Could that technology purchase you postponed because Return on
Investment was dubious now be more effectively deployed? Productivity
losses under ICD-10 are assumed and they will be real.
Talk to your vendors. They have been living in the ICD-10 world
for quite a while and may have cost-effective products or services
available to mitigate the losses.
Don’t Forget Training
It has been estimated that a coding professional will require more
than 50 hours of ICD-10 training to be effective in the new world.
Multiply that training by 50 percent if they will be doing inpatient
services. Start awareness training now. Evaluate the benefits of
training a core team of coders today and have them duplicate claim
submission in ICD-10. This will obviously add to overhead but a
productivity loss of 2-3 percent while employees become comfortable
in the new world will pay off once compliance is real.
All the known costs associated with ICD-10 will pale under the
productivity losses that will be incurred if organizations do not
understand current processes and look at any possible avenues for
productivity increases today to soften the blow tomorrow.
Your hospital may have been
selected to take part in CDC’s
new National Hospital
Care Survey (NHCS).
Participation in the survey will include completion of
a short, self-administered facility questionnaire and
electronic submission of Uniform Bill (UB)-04 data
(administrative claims) to a secure site on a recurring basis.
Health Information Management professional staff
members are eligible for free continuing education credits
after completion of an on-line training about participating
in NHCS.
“The National Hospital Care Survey (NHCS) is a new
survey that will gather critical information on
important issues facing our health care system from a
wide variety of sources across hospital settings. Your
participation in this survey is vital in order to gather
the information needed to make our health care system
even better and more safe than it is now. Thank
you in advance for your participation.”
Thomas R. Frieden, MD, MPH
Director, Centers for Disease Control and Prevention
National Hospital
Care Survey
For more information, visit
www.cdc.gov/nchs/nhcs.htm
National Hospital
Care Survey
ADVANCE for Executive Insight
39