A Quick Look at WEDI’s ICD-10 Post-Implementation Survey Results

The mass hysteria surrounding ICD-10 transition is finally settling. Contrary to the expectations of the healthcare industry, the transition has gone well, leaving many pleasantly surprised. The experts credited awareness, preparation and education, along with technologies for facilitating the transition so smoothly. Although there were some glitches, physicians experienced the most difficulty and some practices clearly struggled to make the conversion.

To assess the overall implementation of ICD-10, the Workgroup for Electronic Data Interchange (WEDI) recently launched an industry-wide survey and the results are out for the healthcare industry to evaluate.

Jean Narcisi, chair of WEDI, recently said, “We wanted this post-implementation survey to be a closing chapter of assessment on why the transition went so well overall and to also leverage specific lessons learned for future large implementations.”

Here are some of the key findings from the survey:

  • Response Rate: The response rate was low as compared to other surveys, indicating the reassignment of ICD-10 project personnel and likely a lack of interest in further ICD-10-related activities that are not operational in nature.
  • Impact of Delays: The compliance deadline was delayed three times, most of the sectors indicated that the delays improved the ability to perform testing and resulted in a smoother transition. However, the changes to the compliance date added cost for many organizations and caused a lack of momentum.
  • Cost: The vendors indicated that the cost of implementation was on target with expectations or was more than anticipated. Though the majority of provider responses also indicated that costs were in line with expectations or higher, many providers responded that costs were less than expected.
  • Return on Investment (ROI): The majority of respondents indicated that they did not expect to realize any ROI with ICD-10.
  • Productivity: The effect to productivity was mainly neutral for vendors and health plans, but there was a slight decrease in productivity for providers.
  • Key Lessons: Some common themes reflected in the responses indicate the value of starting early, communicating with trading partners and conducting extensive testing.

In short, the survey suggests that the healthcare industry pretty much withstood the transition from ICD-9 to ICD-10, and those worries of massive claims rejections and crashing cash flows were largely unfounded. But do you think the 6-month mark is a good time to ask if such concerns really have been settled? The CMS is offering more latitude on claims details span between Oct. 1, 2015 and Oct. 1, 2016; the real game will begin post Oct.1, 2016.

In the meantime, it would be a wise idea you attend this session for your continued education and knowledge on this area. AudioEducator will be hosting an audio session on Clinical Documentation Success in ICD-10.

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