This ICD-10 Implementation Project Plan will guide through steps needed to take and decisions needed to make to implement ICD-10. Work may be done on some steps at the same time. Some steps may also be done at the same time as implementation of the Version 5010 HIPAA electronic administrative transactions. Not all steps may apply to all every practice. Plans can be different for different implementation.
2. General Information
Project Name: ICD-10 Implementation
Functionality: The system being developed will upgrade the codes from ICD-9 to ICD-10, used to describe diagnosis and procedures on clinical transactions. The solution will enable mapping the expansion of all 17,000 ICD-9 codes to approximately 141,000 ICD-10 codes. Customized services will be offered to ensure a smooth, manageable transition to ICD-10.
Implementation Date: October 1, 2016
Start Date: April 1, 2016
Primary Domain: (What department is the primary proponent of this project)
Health Information Management Department, Physician Office, Coding and Billers, Front Office Staff, HIT/HIM Educator
Project Sponsored by: (This person must be a decision-maker with the authority to commit department resources.)
HIM Director, Lead Coder, Business Office Manager
Project Type: Enterprise
(An Enterprise project has significant impact on two or more departments or entire office)
3. The Project Deliverables
Up-to-date classification systems will provide much better data for:
- More accurate information for measuring the quality, safety, and efficiency.
- Greater coding accuracy and reduction in errors.
- Designing payment systems and processing claims for reimbursement.
- Decreasing the need for back-up documentation for claims.
- Conducting research, epidemiological studies, and clinical trials.
- Setting health policy.
- Operational and strategic planning and designing healthcare delivery systems.
- Monitoring resource utilization.
- Improving clinical, financial, and administrative performance.
- Preventing and detecting healthcare fraud and abuse.
- Tracking public health and risks, locally and abroad.
- Supporting value-based purchasing and Medicare’s anti-fraud and abuse activities.
- Supporting comprehensive reporting of quality data.
- Ensuring more accurate payments for new procedures, fewer rejected claims, improved disease management, and harmonization of disease monitoring and reporting worldwide; and
- Alignment of the United States with international coding systems