Data Managers

2009

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2009

Data managers need to fully grasp the data level differences between ICD-9-CM and ICD-10-CM/PCS so they can assess the impact. To do that, they need to understand the new code sets enough to forecast what they must alter in the database in order to accommodate this change. A fundamental understanding of ICD-10-CM/PCS (code structure, format, length, and hierarchy) is necessary. Data managers also need a thorough understanding of the ICD-10-CM/PCS final rule so they know regulatory compliance dates.

Because they will manage the legacy data and comparisons between ICD-9-CM and ICD-10-CM/PCS, data managers must understand what maps are available to translate data between the code systems and understand the use case (where maps are and aren’t appropriate to use).

To Do in 2009:

Review the ICD-10-CM/PCS final rule and define the timelines for compliance.
Learn about the structure, organization, and unique features of ICD-10-CM and ICD-10-PCS.
Begin learning about the general equivalence mappings (GEMs) between ICD-9-CM and ICD-10-CM/PCS.
Begin to assess and communicate the database changes that are required to the technical people (IT or a vendor) who are responsible for re-programming the database application.

Corresponding Resources for Tasks in 2009:

Review the final rule and know the timelines for compliance (corresponds to task #1)
Review ICD-10-CM/PCS: An Introduction Fact Sheet available on CMS Web site (1)
Monthly ICD-TEN newsletter free from AHIMA (1, 2)
Purchase archived audio seminars: Understanding and Using ICD-10-CM, May 2008; Understanding and Using ICD-10-PCS, April 2007; ICD-10-CM and ICD-10-PCS: Prepare for Tomorrow, Today!, January 2009 (2)
Buy ICD-10-CM and ICD-10-PCS Preview, second edition (2)
Review the materials on the GEMs between ICD-9-CM and ICD-10-CM/PCS available on the CMS Web site and National Center for Health Statistics Web site (3)
Review the General Equivalence Mappings fact sheet available on CMS Web site (3)
Review the Second In Series: General Equivalence Mappings fact sheet available on CMS Web site (3)
AHIMA’s ICD-10 Summit, April 2009: Data Mapping and Trending track, Impact Assessment track, and general sessions (available in archived format) (3, 4)
Read the October Journal of AHIMA practice briefs, “Transitioning ICD-10-CM/PCS Data Management Processes” and “Planning Organizational Transition to ICD-10-CM/PCS (4)

2010

While in 2009 the focus is on understanding the code sets, in 2010 the focus is on assessing the specific impact to the data and informing those who will modify the database application. It’s important for data managers to collaborate with IT to ensure thorough implementation planning.

Data managers understand the nuances and limitations of the data they are using and comparing in reports they produce. This includes ICD-9-CM classification data. We expect these people to be early adopters of ICD-10-CM/PCS.

Data managers will want to learn the new code systems early, so they can look for consistencies and inconsistencies between ICD-9-CM and ICD-10-CM/PCS and begin to forecast how this change will affect their longitudinal data reporting

Steps related to maps are the same as 2009, though perhaps with a deeper dive. Data managers should begin to use the maps to get a feel for how they will be useful and how they impact the data.

To do in 2010:

Learn the fundamentals of the ICD-10-CM and ICD-10-PCS systems.
Learn more about mapping between ICD-9-CM and ICD-10-CM/PCS, and apply the General Equivalence Maps (GEMs).
Take specific steps to collaborate with IT or the database vendor and start asking questions and informing the early planning.

Corresponding Resources for Tasks in 2010

Review the ICD-10-CM and ICD-10-PCS Official Coding Guidelines (corresponds to item #1)
Subscribe and read the monthly ICD-TEN free newsletter from AHIMA (1)
Take AHIMA’s online courses, ICD-10-CM Overview: Deciphering the Code and ICD-10-PCS Overview: Deciphering the Code (1); OR
For more in depth knowledge of the code sets complete the AHIMA ICD10 Academy (1)
Attend AHIMA’s “Fundamentals of GEMs” virtual meeting (scheduled November 10, 2010) (2)
Read "Putting the ICD-10-CM/PCS GEMs into Practice" in the March 2010 Journal of AHIMA (2)
Take AHIMA’s online course ICD-10-CM/PCS: Fundamentals of General Equivalence Mappings (GEMs) (2)
Attend the AHIMA ICD-10 Summit, in Washington, DC April 12-13, 2010 (1, 2)
Subscribe to CMS’ “Latest News Page Watch” which can be found towards the bottom of CMS’ “Latest News” website (1, 2)
Review ICD-10 FAQs on the CMS website. Select the Medicare Fee-for-Service Provider Resources link on the left side of the page, scroll down the page to the “Related Links Inside CMS” section and select “ICD-10 FAQs” (1, 2)
Read November/December 2008 practice brief, “HIM and Health IT: Discovering Common Ground in an Electronic Healthcare Environment.” (3)

Data Managers

2009

To Do in 2009:

Corresponding Resources for Tasks in 2009:

2010

To do in 2010:

Corresponding Resources for Tasks in 2010

2011

Future Resources

2012

Future Resources

2013

Future Resources