ICD-10

Specialties Management

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Good evening. I am curious to find out what your facilities are doing to prepare for ICD-10. Are your nurses receiving any specialized training? If so, what?

Thanks!

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

What type of facility or unit do you manage?

Most nurses have nothing to do with the billing end of things, so there would be no need for training.

I don't know that we will have special training, probably just a new book with all the new codes, and whoever is responsible for creating our superbills will need to redo them.

I am a Chief Nursing Officer so I am over most of the patient care departments in our facility. ICD-10 is much more in depth and there is a whole certification process that is different than the ICD-9 certification so hospitals just buying a new book will fail miserably. Nursing will play a role because of the increase in documentation that will be needed. We have starting doing documentation classes but I am wondering what other facilities are doing as well.

Thanks!

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

I didn't mean to imply that that is all the hospital will do to prepare. That is all we will probably do on the provider level. As much as I would love for all providers to take a billing class, it's just not feasible. I'm sure the people who are in charge of the money will be doing a lot, but we don't really expect our nurses and MAs to know about the billing end of things, other than to document appropriately. I'm speaking as a supervisor of a clinic. Obviously, as the CNO, you will be more heavily involved. Sorry, can't speak to how upper administration is preparing for it.

We are not planning any classes or preparation for the nursing staff. I know administration is working with the medical team to ensure their notes include everything that is needed. We use EPIC and staff nurses document on flowsheets that have pre-programmed rows. I would imagine the most we would do is reorganize our flowsheets and educate towards documentation that way instead of educating for the ICD-10 codes. I am a unit director at an academic medical center.

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