Friday, April 20, 2012

Top Tweets from AHIMA's 2012 ICD-10 Summit

This week the AHIMA held their ICD-10 Summit Conference in Baltimore, MD.  Conference Info
From what I heard and read there were a lot of good presentations and information shared.  Being able to glean a few ideas and highlights from attendees who tweeted was the next best thing to being there – or getting the handouts from someone who was there! :’)
Here are some of what I felt were the top tweets – sorted by general category.  Special thanks to Beth Friedman @HealthITPR (!/HealthITPR) who tweeted the lion’s share.

Note: Sorry for not recognizing the actual Tweeps for these tweets  and dropping off the hashtags – my quick and dirty parsing script dropped these off and I don’t have time to re-process.

Coding/Clinical Documentation Improvement/Computer Assisted Coding
CDI, coders and physician documentation: the magic trio for 1-10 success. Align resources for backup support. Dr. Holmes

CAC, coding from the EHR, more IT support. All needed for ICD -10, especially in ACOs. AHIMA

Clinical documentation is foundational. As documentation improves, so does the picture of quality care.
Physician documentation and ICD-10. Bring all diagnoses capture together to make it easier for docs: paper, transcription, speech, EHR.

Increased specification of location is significant in ICD-10. Coders and CAC- know those body parts! Take A&P training!
Big ICD-10 impact for MD, care manager and coder. Roy Foster from Cerner idea: IT reviews documentation, alerts md real time. Cool!

"You can invest in CAC, but if documentation isn't there, it won't help at all" Roy Foster, Cerner during TrustHCS panel.
Find all pockets of coding going on in your organization today. Results may surprise you. Keith Olenik, I-10 consultant

Physician problem list and ICD-10. Categorize problems into acute, chronic but stable and cured. Dr. Holmes
HIM directors want CAC? Look for ego-driven CIO. If he/she wants to be IT leader in your state, show them CAC.

Good I-9 coders will be excellent I-10 coders. Don't retire yet! Please! - Kim Felix - IOD

Getting EHR documentation templates ready for I-10. Need HIM and IT collaboration. Use extra year to do this. Big payoff!
The Pending Delay

“Don’t delay your implementation. You just got an extra year. Maybe it was hopeless, but it’s not now” Kenda West Tavakoli, MHA
Payer says 1 year delay is good. 2-year delay derails project. Provider partners needed for testing. Reach out and get testing!

“This (ICD-10) is going to happen, it is not the metric system.” Glenn Mitchell, MD, MPH, FACEP, CPE, w/ NAI Consulting
CMS: Delay Necessary, But ICD-10 Will Happen

Three things you need for 1-10 according to Rose Dunn: chocolate, drugs, humor.
A look inside #AMA lobbyists' role in the ICD-10 delay

Polls & Statistics
Is your physician staff for or against ICD-10? Answer the poll at the Journal of AHIMA ICD-10 Summit site

Poll: Do you plan to implement CAC to assist with ICD-10 coder productivity?
“We are in this together, 64,000 of us going strong,” Lynne Thomas Gordon, CEO of AHIMA

ICD-10 experience from Canada: coder productivity never recovers. 20 percent drop remains. Doris Gemmel, Accenture
Cleveland Clinic predicts $30m for I-10. Staff augmentation is lion share. Training second. What is your budget?

Miscellanous Ideas & Comments
ICD-10 is an enabler. It's about managing all the new opportunities, now that we have the ability to do so. Nellie Leon-Chisen

Just starting ICD-10? CIOs say do assessment to identify revenue vulnerabilities. Assess all your system vendors.
ICD-10 education. Dianne Haas from TrustHCS says "everyone except housekeeping, grounds keepers and food service."

CIOs. 5 things to do with extra time: install CAC, focus training, build coders, shore up testing, ready physicians.
Kim Felix from IOD says beef up documentation in OR reports for PCS coding in I-10. Any ideas on teaching surgeons? Coders in OR?

Respiratory predicted top MDC revenue loser in iCD-10. Cardiology DRGs see revenue drop. Louis Rossiter, New Health Analytics
Do Not Rely on GEMs to Calculate the Financial Impact of ICD-10 -  

“Interoperability is a journey, not a destination.” –ONC’s Dr. Doug Fridsma
AHIMA takes leadership role internationally on standards. Who would've thought? Icd10 summit. Dr. Doug Fridsma.

Tea leaves not only way to gauge ICD-10 impact on bottom line-Try predictive modeling
Reimbursement Impact of ICD-10 -  

Closing Tweet
We had a great time at #AHIMA ! Thank you to everyone who stopped by and said hi.

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