Unlike many health systems, Geisinger Health System is ahead of the curve on ICD-10. Intending to meet the original Oct. 2013 compliance deadline, Geisinger completed an impact assessment in the spring of 2011. And now it’s crafting a system remediation timeline. Susan Trewhella, associate vice president, revenue management, at the Danville, Pa.-based system described the effort at HIMSS13 in New Orleans. “We asked where ICD-9 codes are used,” she said. “It’s unbelievable what we found.”

Geisinger identified some 80 discrete information systems that used ICD-9 codes and would require remediation. These spanned a wide variety of systems, including scheduling and registration, imaging, charge capture and even the patient portal. Trewhella said Geisinger has dedicated I.T. staff who oversee vendor readiness.  “We need to see a plan from the vendor, otherwise they may not be our vendor,” she said.

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