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Updated on: March 16, 2016

Measure Twice, Cut Once: Plan for ICD-10 Training and Then Do It!

Original story posted on: October 25, 2013
Unfortunately, many healthcare leaders do not believe they have time for ICD-10 education with all of the significant operational changes now occurring in the healthcare industry.

That’s the view expressed by Greg Adams, president of consulting services at Panacea Healthcare Solutions. Adams was addressing the impact of ICD-10 on education during a recent broadcast of “Talk-Ten-Tuesday.”


 “In our business, we must plan and prepare in a careful, thorough manner before we take action, said Adams. “Training and education are the key elements for this,” said Adams, referring to ICD-10 implementation and the mandated compliance date of Oct. 1, 2014.

Adams identified the many people who need to be educated. He sorts those people into three groups:


  • The primary group includes those who need detailed knowledge about the ICD-10 coding system, which includes coders, clinical development improvement (CDI) specialists (especially those performing concurrent coding and training), and those physicians who are involved in ICD-10.
  • The secondary group needs a solid understanding of the ICD-10 diagnosis codes, which includes registrars, precertification staff, billers, and those physicians with lesser involvement with ICD-10.
  • The tertiary group needs a working knowledge but not as detailed as the primary group. This includes ancillary departments like radiology, rehabilitation, and laboratory.

Registrars and other ancillary department staff may fall into the secondary group if onsite registration occurs in the departments instead of in the hospital admissions department or the emergency room.

However, Adams said, “It’s important to realize that no matter what the hospital does, there is still a risk that payers won’t be ready” for ICD-10. This possibility is a big concern of chief financial officers (CFOs) throughout the county, he said.

On the positive side, Adams was impressed by the results of a previous Talk Ten Tuesday poll, which revealed that 50 percent of the listeners already had a schedule for their ICD-10 training and 16 percent are now working through the final details.

“The organizations that are the most prepared to provide the necessary I-10 training are the exact organizations that have invested in staff development,” Adams concluded. “They already have a structure in place and can provide education on any topic they need to within their organization.”


Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.
Janis Oppelt

Janis keeps the wheel of words rolling for Panacea®'s publishing division. Her roles include researching, writing, and editing newsletters, special reports, and articles for RACMonitor.com and ICD10Monitor.com; coordinating the compliance question of the week; and contributing to the annual book-update process. She has 20 years of experience in topics related to Medicare regulations and compliance.

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