His organization is also updating some IT systems and rolling out other new technology tools so it can begin dual coding early next year—that is, coding according to both ICD-9 and ICD-10 sets.
"We are in the process of creating job aids and updating EMR templates to enable clinicians to easily document according to ICD-10 requirements," Burke says. "We will begin dual coding in early 2014 in order to identify vulnerable areas where documentation is not yet meeting ICD-10 requirements."
Along with its staffing, training, and IT plans, Burke says NYU Langone is taking a "multifaceted" approach to testing.
"We plan on performing systematic testing to ensure our internal systems are functioning as expected," he says. "[W]e will also start the process of reviewing the ancillary systems' work flows with end users to ensure there are no major changes to the work flows with ICD-10. Then we will start testing with payers to identify any ICD-10 claims transmission issue [and] make any necessary corrections prior to the ICD-10 transition date. We have identified payers with whom we will be testing and will share data from dual coding."