It is the all-too-common bifurcations like this within healthcare IT that make the rich coding provided by ICD-10 so important, not just for satisfying the demands of payers who want ever more billing detail, but to exchange anatomically precise clinical data between different types of hospitals in the same system.
Korzdorfer plans to deploy ICD-10 in both systems at the same time. The work starts with an extensive evaluation of the skill levels of staff in areas of pharmacology, physiology, anatomy, and basic terminology. The skill set ranges from coders with one or two years' experience to some who have coded for more than 30 years, she says.
The education component seems like the biggest piece of ICD-10 to me. Hospitals might have some staff who are familiar with the cardiovascular system, but need further help mastering the integumentary system. Korzdorfer says it will take this whole year to get staff the kind of supplemental education needed to prepare for ICD-10.
Like so many others I've spoken with, Korzdorfer says preparation is proceeding as if the original 2013 go-live with ICD-10 were still the case, rather than the 2014 date recently formalized by CMS. But that sound you hear is the feet still being dragged at too many provider institutions.