Physicians will be a key part of making the ICD-10 transition successful. This post focuses on helping doctors become more comfortable with the new code sets.
HealthStream outlined these steps in the white paper "Preparing a Successful ICD-10 Transition : Helping Physicians Succeed in an ICD-10 World."
Physicians need to look at the ICD-10 transition as more than an administrative burden because ICD-10 implementation will be part of more than just medical claim reimbursements:
- The ICD-10 data will be used in heathcare reform initiatives.
- More expensive treatments and diagnoses will require more documentation.
- Physicians will be judged on documentation.
Learning ICD-10 coding will be a huge task but physicians won't need to learn the whole code set. Thus ICD-10 training programs need to emphasize coding strategies not codes:
- Focus on documentation principles that can apply to any disease
- Drug, alcohol or tobacco dependency
- Focus on areas that need improvement
- Do not focus on principal diagnosis
- Learn how to code underlying conditions
- Prepare EHRs
- Incorporate ICD-10 into templates and prompts
> Code and code descriptions
> Documentation requirements
Remember there are many ways to teach people:
- Online lessons and webinars
- Peer led workshops and classes
- Mobile apps and resources
- CDI specialists
- Printed resources
- Video games
- One-on-one coaching
It's OK to use different learning tools to reach different physicians.
Physician training steps
- Identify physicians and staff members who need training
- Assess physician documentation strengths and weaknesses
- Develop lessons based upon specialties and documentation gaps
- Develop training timeline
- Estimate time needed
- Schedule start and finish dates
- Allow for practice and follow up assessments