This corrects the missing I5A, Non-ischemic myocardial injury non-traumatic code for the addenda. Also a new version of the FY Conversion table has been added. Note: This replaces the FY release. Skip directly to site content Skip directly to page options Skip directly to A-Z link. National Center for Health Statistics. And like many organizations, you may want to segregate internal and external testing to account for vendor dependencies and the deep penetration of ICD code in systems and processes.
Establishing a testing taskforce helps to manage the testing effort. The taskforce oversees complete, integrated testing, and forms multiple workgroups, each of which is in charge of a particular testing effort. Communication among the workgroups is essential. This effort is complex and requires a high-level test plan to address the overall requirements and the design details of subsystems and components.
Test plan document formats can be as varied as the products and organizations to which they apply, but generally contain some common features, including:.
In the past, testing has focused on the transaction and whether it can be initiated, received, and understood correctly. Testing in the case of ICD must involve all of the aforementioned, plus validation that business rules continue to work as designed pre-ICD To help your team effort, collaborate in developing test strategies, test cases, and test scripts. Workgroups should develop specific guidelines and standard operating procedures for testing, and indicate desired end results for modifications made along the way.
Creating a test environment separate from production will greatly facilitate this effort. The testing effort will produce a great deal of information. Use tools to log and track your findings throughout all testing. Change logs are highly recommended to maintain control over individual changes, and to track subsequent effects of those changes. From this information, metrics can be extracted to measure and track project milestones.
A risk-based approach to testing helps ensure that changes, delays, and other unforeseen obstacles can be dealt with effectively. The more robust your testing efforts, the better off you will be. Although it may not be possible to coordinate or synchronize all aspects of the testing, the more comprehensive your testing plan is, the better prepared your organization will be on Oct. In addition to helping you gauge your readiness for ICD, effective testing will help you limit the financial risks associated with the change.
Talk to them as soon as possible and schedule a coordinated test. As the deadline approaches, payers will be inundated with requests from procrastinating providers scrambling to implement last-minute testing. So schedule your tests now. The People and Processes phase encompasses physicians, coders, and physician documentation, as well as your existing and anticipated coding workflow.
Systems and Software entails evaluating the programs you currently use internally, investing in new software as needed, and testing all of these solutions. Has old software been updated to accept ICD codes? Are your mapping or crosswalk programs working as expected? How effectively are different systems exchanging information? How prepared are your vendors? Incorporate the results into your financial and operational contingency planning. Although the tests may be limited in scope or differ between payers, the results are still the best predictors of what to expect in the months following implementation.
Physician documentation is the foundation of a successful transition to ICD Start by assessing the current state of your documentation. In addition to the new browser tool, ICDCM and all approved updates to the classification are still available on this webpage for public use. The ICD is used to code and classify mortality data from death certificates, having replaced ICD-9 for this purpose as of January 1, ICDCM was developed following a thorough evaluation by a Technical Advisory Panel and extensive additional consultation with physician groups, clinical coders, and others to assure clinical accuracy and utility.
The public comment period ran from December through February
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