Coding

Catholic Health East’s ICD-10 Workflow Analysis Survey

October 16, 2013 9:53 am

Catholic Health East created a 31-question online survey to assess outpatient department needs for ICD-10 implementation. One of the goals of the health system, which has institutions spread across 11 states, was to meet the required ICD-10 migration deadline of October 2014 without disrupting patient throughput in the outpatient setting.

Systems:

  • Are there any systems where you enter a diagnosis code?
  • If yes, please provide the name and module (if known).
  • Does your department use grants?
  • If yes, do you have a system you use to report grants?
  • Does your department do any e-prescribing to outside pharmacies?

Forms:

  • Does your department have any paper forms that contain ICD-9 codes?
  • If yes, please scan and attach or fax.
  • Do you receive any requisition forms or written orders?
  • If yes, are the written requisition forms or written orders primarily from other hospital departments or external physician practices or other?
  • Do you use charge tickets that contain an ICD-9 diagnosis code?
  • If so, how many different charge tickets do you have that contain an ICD-9 diagnosis code?
  • Are you using any diagnosis crosswalks or cheat sheets?
  • Do you have a physician in your department who writes orders?

Processes:

  • Does your department do any medical necessity screening?
  • If you do perform medical necessity screening and the diagnosis code does not meet medical necessity requirements, what is the process for getting a revised diagnosis?
  • Approximately, what percentage of your daily volume is outpatient?
  • Approximately, what percentage of patients who arrive at your department are scheduled?
  • If you schedule patients, how far out do you typically go?
  • Approximately, what percentage of patients are walk-ins?
  • When an outpatient presents, do you check to be sure the diagnosis given is correct?
  • What resources do you use to validate diagnosis codes? Who or what are the resources?
  • If an outpatient requisition or physician order arrives without a diagnosis code, how is it assigned?
  • Do you have any patients who have recurring procedures scheduled or standing orders?
  • If you have recurring patients, typically, how often is the course of treatment for a recurring patient?
  • If you have recurring patients, typically, how many times does the patient come back?
  • Does your department enter patient charges?
  • If your department does not perform charge entry, who does?
  • Are authorizations or referrals required for any of the services provided in your department?
  • Does your department report patient statistics to any outside or government agencies that include diagnosis?

Miscellaneous:

  • What kind of ICD-10 training do you need?
  • What type of questions do you have about ICD-10?

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