Legislative and Executive Advocacy Response Network (LEARN)

(1)

Legislative and Executive Advocacy Response Network (LEARN)

ICD-10 Implementation Study, January 2014

Total Respondents: Responses were received from over 570 physician group practices in which more than 21,416 physicians practice.

Please rate your level of concern for each of the following ICD-10 implementation issues:

Answer Options Not at all concerned Of little concern Moderately concerned Concerned Very concerned

Overall cost of converting to ICD-10 0.9% 7.1% 21.5% 22.9% 47.3%

Cost of upgrading or replacing

practice software 5.3% 18.4% 15% 26.2% 35%

Changes to clinical documentation 0% 2.8% 8.1% 21.5% 67.6%

Loss of clinician productivity after

implementation 1% 2.9% 8.1% 23.3% 64.8%

Loss of productivity of coding staff

after implementation 0.9% 4.9% 10.7% 18.5% 65%

Ability to obtain executive management support for the conversion

(2)

Please rate the expected change in difficulty to accomplish the following practice activities

under ICD-10:

Answer Options Much less difficult Somewhat less difficult No change Somewhat more difficult Much more difficult

Ability to document the patient

encounter 0% 1.5% 7.4% 48.7% 42.4%

Ability of clinician to select

appropriate diagnosis code 0% 0.5% 1% 31.2% 67.3%

Ability of coding staff to select

appropriate diagnosis code 0% 0.5% 4% 44.5% 51%

Ability to include most frequently

used diagnosis codes on a superbill 0% 1.6% 11.4% 26.7% 60.3%

Ability to compare new diagnosis data in ICD-10 with previously collected diagnosis data using ICD-9

1.9% 1.9% 6.9% 45.3% 44%

Ability to outsource billing 3.2% 2% 56.7% 17.5% 20.6%

(3)

Will your, or did your, Practice Management System (PM) need an upgrade or need to be

replaced in order to accommodate ICD-10 diagnosis codes?

Answer Options Response

Our PM will/did need an upgrade 78.2%

Our PM will/did need to be replaced 5.3%

Our PM will need to be replaced or upgraded, but we are

unsure at this time which will be required 3.9% No, our PM will not/did not have to be upgraded or replaced 8.2%

Do not know 4.4%

For those that answered “Our PM will/did need and upgrade” and “Our PM will/did need to be replaced”:

Will the cost to upgrade or replace your Practice Management System be covered, or was it

covered, by your vendor?

Yes 41.3%

No, we will need to pay or did pay for the upgrade or

replacement 41.8%

Do not know 16.9%

For those that answered “No, we will need to pay or did pay for the upgrade or replacement”:

Approximately how much will it cost, or did it cost, to upgrade or replace your Practice

Management System to use the ICD-10 diagnosis codes? Please indicate the cost per FTE

physician.

(4)

For those that answered “Our EHR will/did need and upgrade” and “Our EHR will/did need to be replaced”:

For those that answered “No, we will need to pay or did pay for the upgrade or replacement”:

Approximately how much will it cost, or did it cost, to upgrade or replace your EHR to use the ICD-10 diagnosis codes? Please indicate the cost per FTE physician.

Average cost per FTE: $12,885

Will the cost to upgrade or replace your EHR be covered, or was it covered, by your vendor?

Yes 50.7%

No, we will need to pay or did pay for the upgrade or

replacement 36.5%

Do not know 12.8%

Will your, or did your, EHR need an upgrade or need to be replaced in order to accommodate

ICD-10 diagnosis codes?

Our EHR will/did need an upgrade 78.1%

Our EHR will/did need to be replaced 3.7%

Our EHR will need to be replaced or upgraded, but we are

unsure at this time which will be required 4.8% No, our EHR will not/did not have to be upgraded or replaced 8%

(5)

When has your Practice Management System vendor indicated that they will make the ICD-10

upgrade or replacement available to you?

Already upgraded or replaced our software 22.4%

By April 1, 2014 36.2%

By July 1, 2014 11.7%

By Oct. 1, 2014 7.1%

We have not heard from our vendor regarding a specific date 21.9% Our vendor has indicated they will not be upgrading or

replacing our software 0.7%

When has your EHR vendor indicated that they will make the ICD-10 upgrade or replacement

available to you?

Already upgraded or replaced our software 20%

By April 1, 2014 33.1%

By July 1, 2014 14.2%

By Oct. 1, 2014 6.9%

We have not heard from our vendor regarding a specific date 24.6% Our vendor has indicated they will not be upgrading or

(6)

Will your Practice Management System give you the ability to dual code (assign either

and ICD-9 or ICD-10 code to a claim) for some period of time after Oct. 1, 2014?

Yes 51.5%

No 4.9%

Do not know 42.2%

Not applicable 1.4%

What is your scheduled date to begin ICD-10 testing with your Practice Management

System?

Testing is complete 2%

Testing has started but not yet complete 9.9%

Plan to test by June 1, 2014 25.7%

Plan to test between June 1, 2014 and Oct. 1, 2014 31.7%

(7)

What is your scheduled date to begin ICD-10 testing with your EHR?

Testing is complete 1.6%

Testing has started but not yet complete 6.6%

Plan to test by June 1, 2014 24.1%

Plan to test between June 1, 2014 and Oct. 1, 2014 31.3%

Do not know 36.2%

When have the following entities indicated that they will be ready to accept test claims?

Answer Options Fully tested

Started to test but not yet completed Plan to test by Jan. 1, 2014 Plan to test between Jan. 1 and Oct. 1, 2014 We have not heard from entity

Your major health

plans 0.5% 5.4% 1% 33.5% 59.6%

Your clearinghouse 3.2% 8.1% 2.1% 39.4% 47.2%

Please rate your practice’s current overall readiness level for ICD-10 implementation:

Not yet started our

implementation Somewhat ready

Approximately half completed Made significant progress Completely finished with our

implementation