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   ICD-10 is one of the largest transformations in 30 years
    impacting:
    • Many applications
    • 80% of business processes
    • Most parts of the organization
           p              g
   ICD-10 effort is large and complex
   The transition date is actually closer than October, 2013
   If you haven’t started your ICD-10 effort, you are behind
   Understand the major steps involved and how the
    Mi
    Minnesota ICD 10 C ll b
              ICD-10 Collaborative can h l
                                i      help




                                                 © Charter Solutions, Inc. 2011   2
Death              Taxes

  ICD-10
  ICD 10
 October 1, 2013




                     © Charter Solutions, Inc. 2011   3
   ICD-10 is primarily a
    business problem/
    opportunity
   You can t just give the
        can’t
    problem to a vendor
   Challenges exist
           g
   Opportunities to
    create value
   Key lesson learned
    from other countries:
    start early!

                              © Charter Solutions, Inc. 2011   4
   10X more data options = more information to
    drive decisions
   More “appropriate” levels of reimbursement
   Support for new reimbursement models
   Streamlined claims adjudication process;
    eventually – fewer rejected claims
   Approval of new procedures
   Phase out legacy systems
   Opportunity to improve business processes
   Most believe ICD-10 will improve quality of care




                                                 © Charter Solutions, Inc. 2011   5
© Charter Solutions, Inc. 2011   6
ICD 10 CM
                                                               ICD-10-CM
                 S72301A Unspecified fracture of shaft        S72322A Displaced transverse fracture S72326A Nondisplaced transverse
                 of right femur, initial encounter for        of shaft of left femur, initial encounter for fracture of shaft of unspecified femur,
                 closed fracture                              closed fracture                               initial encounter for closed fracture

                                                              S72322G Displaced transverse fracture        S72326G Nondisplaced transverse
                 S72301G Unspecified fracture of shaft
                                 p                                                                         fracture of shaft of unspecified femur,
                                                                                                                                            femur
                                                              of shaft of lleft f
                                                               f h ft f ft femur, subsequent
                                                                                      b        t
                 of right femur, subsequent encounter                                                      subsequent encounter for closed fracture
                                                              encounter for closed fracture with
                 for closed fracture with delayed healing                                                  with delayed healing
                                                              delayed healing


ICD-9-CM
                 S72302A Unspecified fracture of shaft S72323A Displaced transverse fracture               S72331A Displaced oblique fracture of
                 of left femur, initial encounter for closed of shaft of unspecified femur, initial        shaft of right femur, initial encounter for
                 fracture                                    encounter for closed fracture                 closed fracture
                                                              S72323G Displaced transverse fracture S72331G Displaced oblique fracture of
                                                                         p                                          p         q
                S72331A Displaced oblique
                                      Di l d ofbli of unspecified femur,
                 S72302G Unspecified fracture of shaft
                 of left femur, subsequent encounter for
                                                               shaft                                shaft of right femur, subsequent
                                                            subsequent encounter for closed         encounter for closed fracture with
                fracture with delayed healing right femur, healing
                 closed fracture
                                  of shaft of fracture with delayed                                 delayed healing
821.01          initial encounter of shaftclosedof Nondisplacedfemur, initial
                 S72309A Unspecified fracture
                                                   for S72324A                       transverse            S72332A Displaced oblique fracture of

Fracture of
                 of unverified femur, initial encounter for fracture shaft of right                        shaft of left femur, initial encounter for
                fracture
                 closed fracture                            encounter for closed fracture                  closed fracture

femur,
femur            S72309G Unspecified fracture of shaft
                 of unspecified femur, subsequent
                                                              S72324G Nondisplaced transverse
                                                              fracture of shaft of right femur,
                                                                                                           S72332G Displaced oblique fracture of
                                                                                                           shaft of left femur, subsequent encounter

shaft, closed    encounter for closed fracture with
                 delayed healing
                                                              subsequent encounter for closed
                                                              fracture with delayed healing
                                                                                                           for closed fracture with delayed healing


                 S72321A Displaced transverse fracture S72325A Nondisplaced transverse                     S72333A Displaced oblique fracture of
                 of shaft of right femur, initial encounter fracture of shaft of left femur, initial       shaft of unspecified femur, initial
                 for closed fracture                        encounter for closed fracture                  encounter for closed fracture
                 S72321G Displaced transverse                 S72325G Nondisplaced transverse              S72333G Displaced oblique fracture of
                 fracture of shaft of right femur,            fracture of shaft of left femur,             shaft of unspecified femur, subsequent
                 subsequent encounter for closed              subsequent encounter for closed              encounter for closed fracture with
                 fracture with delayed healing                fracture with delayed healing                delayed healing




                                                                                                       © Charter Solutions, Inc. 2011                    7
Assessment/Strategy             Plan and Design              Implement                          Go live
• Assign ICD-10 Czar          • Engage providers &     • Application, data and         • Business Partner
• Education/ Awareness          partners                 business process                Testing
• Assess Business and         • Business Decisions/      changes                       • Service ICD-10
  Technology Impacts            Model Options          • Testing                       • Coordinate final roll-out
• Corporate Strategy          • Technical Decisions    • Risk management
• Hi-level strategy design
                 gy
  & scope identification
                        g     • Design Solutions
                                     g
                              • Baseline performance
                                                       • Transition planning
                                                       • Coordinate
                                                                    p      g
                                                                                          October 1
                                                                                                  1,
• Form Steering
  Committee
                              • Financial Modeling
                              • Establish Projects
                                                         implementation & roll-out          2013


  2010                       2011                       2012                                  2013




                                                                                     © Charter Solutions, Inc. 2011
                                                                                                                      8
   Get physicians involved early
   There wasn’t enough time for
    training
   It’s just not a systems problem
   Teach documentation sooner
   Plan for delays and cost
    overruns
   Understand that
    U d t d th t you will not
                        ill t
    regain productivity
   Collaborate and share the pain
                               Source: Gillian Price, Project Director Canada
                                                                                9
NUMBERS BETWEEN SEPTEMBER 22, 2011
                            ,        AND
OCTOBER 1, 2013:
 2 years, 9 days
 24 months
 9 quarters
    q
 1or 2 budget cycles




                                      © Charter Solutions, Inc. 2011   10
   Several ICD-10 solutions will actually
                                         y
    need to be implemented well in
    advance of October, 2013
   Organizations will begin transitioning
       g                 g               g
    to ICD-10 months before the actual
    due date
   Recommend a 25% schedule and
    budget contingency be added
   Many not ready for the 5010
    implementation; shortens the available
    time for ICD-10 focus
   2012 – Implementation
   2013 – Business Partner Testing
           and Go-Live
                                             © Charter Solutions, Inc. 2011   11
© Charter Solutions, Inc. 2011   12
Computer Assisted                Education and
Coding (CAC)                     Training


Clinical                         Business
Documentation                    Partner/ Vendor
Improvement                      Management

                                  Testing
Application
Upgrades,
Remediation,                      Custom ICD-9
Retirement                        to ICD-10
                                  Mapping
B i
Business P
         Process
Assessment and
Redesign                          Financial
                                  Modeling

                                  Analytics
                    © Charter Solutions, Inc. 2011   13
EHR
     Clinical
    Documents
                           Applicable                             Abstractor/
        Coder                Codes                                 Encoder
1. Views documentation
2.
2 Views applicable codes
3. Selects codes to send
   to abstractor/encoder
   system




                                        Billing




                                                  © Charter Solutions, Inc. 2011   14
Approach               Outcomes/Deliverables

Organization
                                      Deliverable             Outcomes

Departments
                                  1   Organization   ► Customized analysis by
                                       /Structural       department, function, &
                                         Review          p
                                                         process

Functions                         2                  ► Documented functional
                                                       boundaries &
                                                       accountabilities
                                       “SIPOC”
                                                     ► I.D. of specific Suppliers,
               • Process 1                             Inputs, Process, Outputs
               • Process 2                             & Customers
Processes      • Process 3
               • ….etc.           3                  ► Breakdown of functional
                                      High-Level       processes; High Level
                                       Process         Process Flow:
                                         Flow        ► How many processes
                                                     ► Which work streams
                                                              work-streams
Impacts &       Impact 1 =
Magnitude        High             4                  ► Map to processes
                Impact 2 =                          ► Estimate of Impacts (H,
                                        Risks &
                 High                                  M, L)
                                        Impacts
                Impact 3 = Low                      ► Business Partner &
               …etc.                                   Technology Touch-points
                                                               gy         p




                                                            © Charter Solutions, Inc. 2011
                                                                                             15
Areas Within a Provider’s Business Cycle
           Impacted b ICD 10
           I      t d by ICD-10
 Payer         Revenue       Customer            Point of         Care                                                 Business
                                                                               Finance             Analytics
Relations         g
                Mgmt          Service            Service           g
                                                                  Mgmt                                                 Associate


  Payer          Claims     Patient Portal     Incoming        Disease &     Accounting         Business Rule          Clearing
Contracting    Processing                         Pre-            Case                              Sets               houses
                                             certifications   Management
  Pricing      Billing &     Call Center       Hospital        Utilization    Resource            Predictive         Third Parties
              Receivables                       Data          Management       Mgmt               Modeling

Medicare      Reimburse-                      Procedure,        Disease       Financial         Comparative            Vendors
              ment Review                    Diagnosis and    Management      Extracts          Effectiveness
                                              Drug C di
                                              D    Coding
 Medicaid       Patient                      Gaps in Care      Population    Supply Chain         Outcomes            Hospitals,
               Collection                                     Management                           Analysis          Clinics, Labs
                                                                             Policies and        Operational            Other
                                                                             Procedures           Reporting           Treatment
                                                                                                                      Modalities




                                                                                            © Charter Solutions, Inc. 2011           16
ONE TO ONE                              COMBINATION ENTRY
ICD-9                              ICD-10   ICD-9   One code in source to
                                                                                  ICD-10
         One code in source to
        only one in target 3,458                    multiple in target 629
         codes or 24.5% of all                      codes or 4.46% of all
            ICD-9 DX codes                             ICD-9 DX codes




                                            ICD-9       NO MATCH                  ICD-10
ICD-9      SINGLE ENTRY            ICD-10
                                                     One code in source –
         One code in source to
                                                    new code in target 416
          only one of many in
         target 9,600 codes or                      codes or 2.95% of all
             68.07% of all                             ICD-9 DX codes
            ICD-9 DX codes




                                                                 Cerner 5/24/11

                                                                                           17
Revenue
                  Health                       Cycle
                                                                            Hospital
                                               Mgmt
                  System                                                                                          Mental
                                                                                                                  Health
Employers                                                                                                        Manager


                                        PBM
                                                             Claims
                                                           Processing
                 Clearing
                 Cl   i
                  house
                                                                                                                 Large
TPA                                                                                        Radiology
                                                                                                                 Clinic
                                         Health
                                          Plan
                            Stop
            UM              Loss                                          RBM

                                                                                                                 DME

                                   DM
   Benefits                                                                                   Small
  Consultant                                                                                  Clinic
                                               Reporting
                                                                    Lab


                                                                                © Charter Solutions, Inc. 2011         18
Stakeholder Group      Education/Training Requirements
Coders                 Medical terminology; anatomy and
                       physiology; coding structure and
                       guidelines
Clinicians             Documentation improvement needed
Compliance             ICD-10 structure and coding
Financial Services     Impact on grouping and payment
Information            Interface and internal systems impact
                                               y        p
Technology
Researchers            Impact of reporting
Patient registration   Documentation; impact on
                       medication necessity
Quality Management     Impact on reporting and cost
                       accounting



                                                               Source: 3M   19
Begin
                                                        g
                                   Raise ICD-10      Business/
                                   Awareness         Clinical and
                       Form an                       Technology
                       ICD-10
                       ICD 10                        Impact
         Engage        Steering                      Assessment
         Executive     Committee
         Sponsorship
         S        hi
Assign an
ICD-10 Czar



                                             © Charter Solutions, Inc. 2011   20
   Overall Strategy
   Major Initiatives
   Timeline/Schedule/Milestones
   Budget/Costs
       g /
   Resource Requirements
   Organization Structure
      g
   Key Risk Mitigation Strategies


          An ICD-10 Roadmap is critical for leading the
             organization through the ICD-10 effort


                                               © Charter Solutions, Inc. 2011   21
Business Plans

Align Business and                                  Maximize business
    Technology                                          benefits


                            Alignment



     IT Plans                                         ICD-10
                       Reduce overall costs and
                     timeline, coordinate upgrade
                               schedules
                                 h d l

                                                    © Charter Solutions, Inc. 2011   22
col·lab·o·rate          [kuh-lab-uh-reyt] Show IPA verb (used without object), -
rat·ed, -rat·ing.
1. to work, one with another; cooperate, as on a literary work: They collaborated
on a novel.
2. cooperate,
2 to cooperate usually willingly, with an enemy nation especially with an
                        willingly                nation,
enemy occupying one's country




                                                           © Charter Solutions, Inc. 2011   23
To identify and evaluate
   opportunities to minimize the
   disruption in health care
   billing, reporting, and related
   processes for a variety of
   stakeholders in the health care
   industry in connection with the
   ICD-10 conversion.


25 major health plans, providers, state agencies and associations
       participate in the Minnesota ICD-10 Collaborative


                                                © Charter Solutions, Inc. 2011   24
Operations Committee meets monthly
       to set overall d
                   ll direction.




Work Groups meet 1x or 2x per month




                               © Charter Solutions, Inc. 2011   25
   Communications and Outreach
    C     i ti       dO t     h
    • Webinar - November 8, 2011
    • S i
      Spring 2012 S
                  Summit
                      i
    • Other events
   Work Group d li
    W kG       deliverables
                       bl
   Website for sharing information
   Best Practices



                                      © Charter Solutions, Inc. 2011   26
   ICD-10 is closer than you think!
   Large and complex (i e many rocks)
                      (i.e.
   Jump start your ICD-10 effort, time is not
    on your side
       y
   Minnesota ICD-10 Collaborative can help




                                          © Charter Solutions, Inc. 2011   27
Contact information:

Mark.Jahn@CharterSolutions.com
763-230-6130 (office)
612-850-9510 (cell)




                                 © Charter Solutions, Inc. 2011   28

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M Jahn Sep2011 Program Presentation

  • 1. 1
  • 2. ICD-10 is one of the largest transformations in 30 years impacting: • Many applications • 80% of business processes • Most parts of the organization p g  ICD-10 effort is large and complex  The transition date is actually closer than October, 2013  If you haven’t started your ICD-10 effort, you are behind  Understand the major steps involved and how the Mi Minnesota ICD 10 C ll b ICD-10 Collaborative can h l i help © Charter Solutions, Inc. 2011 2
  • 3. Death Taxes ICD-10 ICD 10 October 1, 2013 © Charter Solutions, Inc. 2011 3
  • 4. ICD-10 is primarily a business problem/ opportunity  You can t just give the can’t problem to a vendor  Challenges exist g  Opportunities to create value  Key lesson learned from other countries: start early! © Charter Solutions, Inc. 2011 4
  • 5. 10X more data options = more information to drive decisions  More “appropriate” levels of reimbursement  Support for new reimbursement models  Streamlined claims adjudication process; eventually – fewer rejected claims  Approval of new procedures  Phase out legacy systems  Opportunity to improve business processes  Most believe ICD-10 will improve quality of care © Charter Solutions, Inc. 2011 5
  • 6. © Charter Solutions, Inc. 2011 6
  • 7. ICD 10 CM ICD-10-CM S72301A Unspecified fracture of shaft S72322A Displaced transverse fracture S72326A Nondisplaced transverse of right femur, initial encounter for of shaft of left femur, initial encounter for fracture of shaft of unspecified femur, closed fracture closed fracture initial encounter for closed fracture S72322G Displaced transverse fracture S72326G Nondisplaced transverse S72301G Unspecified fracture of shaft p fracture of shaft of unspecified femur, femur of shaft of lleft f f h ft f ft femur, subsequent b t of right femur, subsequent encounter subsequent encounter for closed fracture encounter for closed fracture with for closed fracture with delayed healing with delayed healing delayed healing ICD-9-CM S72302A Unspecified fracture of shaft S72323A Displaced transverse fracture S72331A Displaced oblique fracture of of left femur, initial encounter for closed of shaft of unspecified femur, initial shaft of right femur, initial encounter for fracture encounter for closed fracture closed fracture S72323G Displaced transverse fracture S72331G Displaced oblique fracture of p p q S72331A Displaced oblique Di l d ofbli of unspecified femur, S72302G Unspecified fracture of shaft of left femur, subsequent encounter for shaft shaft of right femur, subsequent subsequent encounter for closed encounter for closed fracture with fracture with delayed healing right femur, healing closed fracture of shaft of fracture with delayed delayed healing 821.01 initial encounter of shaftclosedof Nondisplacedfemur, initial S72309A Unspecified fracture for S72324A transverse S72332A Displaced oblique fracture of Fracture of of unverified femur, initial encounter for fracture shaft of right shaft of left femur, initial encounter for fracture closed fracture encounter for closed fracture closed fracture femur, femur S72309G Unspecified fracture of shaft of unspecified femur, subsequent S72324G Nondisplaced transverse fracture of shaft of right femur, S72332G Displaced oblique fracture of shaft of left femur, subsequent encounter shaft, closed encounter for closed fracture with delayed healing subsequent encounter for closed fracture with delayed healing for closed fracture with delayed healing S72321A Displaced transverse fracture S72325A Nondisplaced transverse S72333A Displaced oblique fracture of of shaft of right femur, initial encounter fracture of shaft of left femur, initial shaft of unspecified femur, initial for closed fracture encounter for closed fracture encounter for closed fracture S72321G Displaced transverse S72325G Nondisplaced transverse S72333G Displaced oblique fracture of fracture of shaft of right femur, fracture of shaft of left femur, shaft of unspecified femur, subsequent subsequent encounter for closed subsequent encounter for closed encounter for closed fracture with fracture with delayed healing fracture with delayed healing delayed healing © Charter Solutions, Inc. 2011 7
  • 8. Assessment/Strategy Plan and Design Implement Go live • Assign ICD-10 Czar • Engage providers & • Application, data and • Business Partner • Education/ Awareness partners business process Testing • Assess Business and • Business Decisions/ changes • Service ICD-10 Technology Impacts Model Options • Testing • Coordinate final roll-out • Corporate Strategy • Technical Decisions • Risk management • Hi-level strategy design gy & scope identification g • Design Solutions g • Baseline performance • Transition planning • Coordinate p g October 1 1, • Form Steering Committee • Financial Modeling • Establish Projects implementation & roll-out 2013 2010 2011 2012 2013 © Charter Solutions, Inc. 2011 8
  • 9. Get physicians involved early  There wasn’t enough time for training  It’s just not a systems problem  Teach documentation sooner  Plan for delays and cost overruns  Understand that U d t d th t you will not ill t regain productivity  Collaborate and share the pain Source: Gillian Price, Project Director Canada 9
  • 10. NUMBERS BETWEEN SEPTEMBER 22, 2011 , AND OCTOBER 1, 2013:  2 years, 9 days  24 months  9 quarters q  1or 2 budget cycles © Charter Solutions, Inc. 2011 10
  • 11. Several ICD-10 solutions will actually y need to be implemented well in advance of October, 2013  Organizations will begin transitioning g g g to ICD-10 months before the actual due date  Recommend a 25% schedule and budget contingency be added  Many not ready for the 5010 implementation; shortens the available time for ICD-10 focus  2012 – Implementation  2013 – Business Partner Testing and Go-Live © Charter Solutions, Inc. 2011 11
  • 12. © Charter Solutions, Inc. 2011 12
  • 13. Computer Assisted Education and Coding (CAC) Training Clinical Business Documentation Partner/ Vendor Improvement Management Testing Application Upgrades, Remediation, Custom ICD-9 Retirement to ICD-10 Mapping B i Business P Process Assessment and Redesign Financial Modeling Analytics © Charter Solutions, Inc. 2011 13
  • 14. EHR Clinical Documents Applicable Abstractor/ Coder Codes Encoder 1. Views documentation 2. 2 Views applicable codes 3. Selects codes to send to abstractor/encoder system Billing © Charter Solutions, Inc. 2011 14
  • 15. Approach Outcomes/Deliverables Organization Deliverable Outcomes Departments 1 Organization ► Customized analysis by /Structural department, function, & Review p process Functions 2 ► Documented functional boundaries & accountabilities “SIPOC” ► I.D. of specific Suppliers, • Process 1 Inputs, Process, Outputs • Process 2 & Customers Processes • Process 3 • ….etc. 3 ► Breakdown of functional High-Level processes; High Level Process Process Flow: Flow ► How many processes ► Which work streams work-streams Impacts &  Impact 1 = Magnitude High 4 ► Map to processes  Impact 2 = ► Estimate of Impacts (H, Risks & High M, L) Impacts  Impact 3 = Low ► Business Partner & …etc. Technology Touch-points gy p © Charter Solutions, Inc. 2011 15
  • 16. Areas Within a Provider’s Business Cycle Impacted b ICD 10 I t d by ICD-10 Payer Revenue Customer Point of Care Business Finance Analytics Relations g Mgmt Service Service g Mgmt Associate Payer Claims Patient Portal Incoming Disease & Accounting Business Rule Clearing Contracting Processing Pre- Case Sets houses certifications Management Pricing Billing & Call Center Hospital Utilization Resource Predictive Third Parties Receivables Data Management Mgmt Modeling Medicare Reimburse- Procedure, Disease Financial Comparative Vendors ment Review Diagnosis and Management Extracts Effectiveness Drug C di D Coding Medicaid Patient Gaps in Care Population Supply Chain Outcomes Hospitals, Collection Management Analysis Clinics, Labs Policies and Operational Other Procedures Reporting Treatment Modalities © Charter Solutions, Inc. 2011 16
  • 17. ONE TO ONE COMBINATION ENTRY ICD-9 ICD-10 ICD-9 One code in source to ICD-10 One code in source to only one in target 3,458 multiple in target 629 codes or 24.5% of all codes or 4.46% of all ICD-9 DX codes ICD-9 DX codes ICD-9 NO MATCH ICD-10 ICD-9 SINGLE ENTRY ICD-10 One code in source – One code in source to new code in target 416 only one of many in target 9,600 codes or codes or 2.95% of all 68.07% of all ICD-9 DX codes ICD-9 DX codes Cerner 5/24/11 17
  • 18. Revenue Health Cycle Hospital Mgmt System Mental Health Employers Manager PBM Claims Processing Clearing Cl i house Large TPA Radiology Clinic Health Plan Stop UM Loss RBM DME DM Benefits Small Consultant Clinic Reporting Lab © Charter Solutions, Inc. 2011 18
  • 19. Stakeholder Group Education/Training Requirements Coders Medical terminology; anatomy and physiology; coding structure and guidelines Clinicians Documentation improvement needed Compliance ICD-10 structure and coding Financial Services Impact on grouping and payment Information Interface and internal systems impact y p Technology Researchers Impact of reporting Patient registration Documentation; impact on medication necessity Quality Management Impact on reporting and cost accounting Source: 3M 19
  • 20. Begin g Raise ICD-10 Business/ Awareness Clinical and Form an Technology ICD-10 ICD 10 Impact Engage Steering Assessment Executive Committee Sponsorship S hi Assign an ICD-10 Czar © Charter Solutions, Inc. 2011 20
  • 21. Overall Strategy  Major Initiatives  Timeline/Schedule/Milestones  Budget/Costs g /  Resource Requirements  Organization Structure g  Key Risk Mitigation Strategies An ICD-10 Roadmap is critical for leading the organization through the ICD-10 effort © Charter Solutions, Inc. 2011 21
  • 22. Business Plans Align Business and Maximize business Technology benefits Alignment IT Plans ICD-10 Reduce overall costs and timeline, coordinate upgrade schedules h d l © Charter Solutions, Inc. 2011 22
  • 23. col·lab·o·rate [kuh-lab-uh-reyt] Show IPA verb (used without object), - rat·ed, -rat·ing. 1. to work, one with another; cooperate, as on a literary work: They collaborated on a novel. 2. cooperate, 2 to cooperate usually willingly, with an enemy nation especially with an willingly nation, enemy occupying one's country © Charter Solutions, Inc. 2011 23
  • 24. To identify and evaluate opportunities to minimize the disruption in health care billing, reporting, and related processes for a variety of stakeholders in the health care industry in connection with the ICD-10 conversion. 25 major health plans, providers, state agencies and associations participate in the Minnesota ICD-10 Collaborative © Charter Solutions, Inc. 2011 24
  • 25. Operations Committee meets monthly to set overall d ll direction. Work Groups meet 1x or 2x per month © Charter Solutions, Inc. 2011 25
  • 26. Communications and Outreach C i ti dO t h • Webinar - November 8, 2011 • S i Spring 2012 S Summit i • Other events  Work Group d li W kG deliverables bl  Website for sharing information  Best Practices © Charter Solutions, Inc. 2011 26
  • 27. ICD-10 is closer than you think!  Large and complex (i e many rocks) (i.e.  Jump start your ICD-10 effort, time is not on your side y  Minnesota ICD-10 Collaborative can help © Charter Solutions, Inc. 2011 27