Last month, I wrote an article, 50 Shades of Coding: Tips for Taming ICD-10 Knowledge Loss, describing the impact of ICD-10 delays on coder training, knowledge and accuracy, and provided practical tips and techniques to get coder knowledge back on track in 2015.

After two delays and two years of uncertainty that has left most clinical coders woefully behind in ICD-10 knowledge and hands-on experience, coders are being pulled away from ICD-10 training and pushed back into ICD-9 production.

Like most coding companies and hospitals, we invested a significant amount of time and money into training our coders for ICD-10. Over 150 coders were trained and tested in late 2013 and early 2014. After the most recent delay, these coders were shifted back to ICD-9.

To counter knowledge loss and accuracy issues, the following three steps should be taken today:

  • Reduce the amount of workload shift.
  • Ramp up learning and focus for ICD-10
  • Continually assess coders in preparation for Oct. 1, 2015 and identify specific strengths and weaknesses.

The degree of knowledge knowledge loss caused by the 2014 delay is significant. Prepare accordingly by retraining coders by placing a great deal of emphasis on hands-on practice with real cases. Apply ICD-10 theory to the real world through dual coding and use dual-coded cases for testing, measuring productivity and gauging accuracy. It is recommended that ICD-10 mentoring programs begin now and continue for the next 12 months.

For more practical tips and techniques, read the full article here: ICD-10 Monitor: 50 Shades of Coding: Tips for Taming ICD-10 Knowledge Loss