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HSCRC ICD-10 Hospital Survey  

Information Exchange II May 28, 2015

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30 Survey Respondents Consisting of…

5 TPR Hospitals

1 Specialty Hospital

24 Other Acute Hospitals

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90% of the organizations will be ready to transmit ICD-10 transactions by October 1, 1015

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57% Completed Their ICD-10 Impact Assessment

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When Do You Expect to Complete Business Changes (documentation and workflow redesign) for ICD-10 implementation?

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Do You Intend to Conduct External Testing?

Answer Choices Responses CountYes, with a sample of payers 53.33% 16

Yes, but only with clearinghouses 26.67% 8

Yes, with a majority of payers 20.00% 6

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What is your expected date to begin external testing?

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With whom have you planned or completed your external testing? (multiple selections allowed)

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63% of the Respondents Have Performed Medicare Testing

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What Are Your Top Three Obstacles That Have Caused Delay and/or Lack of Progress in ICD-10 Planning and Implementation?

Answer Choices Responses CountCompeting internal priorities 63.33% 19

Uncertainty around further delays in implementation date

63.33% 19

Significant IT Impacts 36.67% 11

Staffing 36.67% 11

Availability of test data 36.67% 11

Health Plan Readiness Concerns 26.67% 8

Vendor Readiness Concerns 26.67% 8

Budget 20.00% 6

Other 3.33 1

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How do you plan to produce ICD-10 codes?

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Have You Developed a Contingency Plan if You are Not Ready to Submit Transactions by October 1, 2015?

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Do You Plan to Code Outpatient Services Using ICD-10 PCS as well as CPT Codes? (This is not a requirement for the October 1, 2015 implementation).

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HSCRC ICD-10 Payer Survey  

Information Exchange II May 28, 2015

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100% of the payers completed their formal impact assessment/gap analysis

Over 55% of the payers completed their business process design development (incl.

processes such as medical management, claims revenue, etc.

100% of participants will process split claims the same as the CMS’ policy (for services

that span the October 1, 2015 transition date, providers are required to split the

services into two claims (one claim representing the services provided prior to October

1, 2015 using ICD-9 codes and one claim for the services on or after October 1, 2015

using ICD- 10 codes), depending on the type of service).

What is your estimated date to start internal testing of fully functional ICD-10 processing?

Do you intend to conduct external testing?

What Is Your Estimated Date to Begin External Testing?

Do You Plan to Perform External Testing with Maryland Institutions? (multiple selections allowed)

What Are the Top 3 Obstacles/Issues That Have Caused Delay and/or Lack of Progress in ICD-10 planning and implementation?

What Is Your Primary Strategy for ICD-10 Claims Processing?

57% of the Respondents Developed a Contingency Plan if They Are Not Ready by October 1, 2015