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ICD-10 from the Administrative Perspective: Five Steps to Help Ensure Transition Success

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The administrative staff in every practice has an incredibly wide scope of responsibility. These staff members touch everything from scheduling to pre-authorizations to collections—all of which gives them exceptionally broad insight into how diagnosis codes help shape practice success.

For this reason, an administrative perspective is key to helping create effective ICD-10 education and training programs, policies and procedures. In fact, the ease or difficulty of a practice’s transition to ICD-10 may well depend on its ability to take full advantage of administrative knowledge. There are five distinct steps in the ICD-10 transition that can benefit from administrative understanding: diagnosis code discovery; gap analysis; technology updates; support and education; and testing/monitoring.

Take steps one and two: diagnosis code discovery and gap analysis. The familiarity of administrative staff with all practice processes puts them in an ideal position to review all areas where diagnosis codes lurk. Missing even one instance where diagnosis codes are used could affect both reimbursement and patient care. Administrative staff can help by compiling a single standardized, electronic report that formalizes diagnosis code use within each practice department.

At the other end of the spectrum—testing and monitoring—practices should be looking for ways to get administrative staff proactively involved in determining post-implementation testing parameters. After all, they’re the ones who really understand how practice processes and systems are used “in real life.”

Discover more about these and other tips by downloading the complimentary white paper A Practice Administrator’s Guide to ICD-10. Learn how to strengthen your practice’s ICD-10 transition strategy by incorporating the administrative perspective.