HSCRC ICD-10 Hospital Survey
Information Exchange II
May 28, 2015
1
30 Survey Respondents Consisting of…
 5 TPR Hospitals
 1 Specialty Hospital
 24 Other Acute Hospitals
2
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
Count
Yes, 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
6
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
Count
Competing 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
10
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
14
 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).
15
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 ICD10 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