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* 1. Which of the following best describes your job title?

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* 2. Which best describes the setting in which you work?

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* 3. If you work in a hospital, how many beds does it have?

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* 4. Have you conducted a formal assessment of your organization's readiness for ICD-10?

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* 5. If you answered "yes" to the previous question, what did you assess? (Check all that apply)

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* 6. Which of the following tasks on your coder training ICD-10 timeline have been completed? (Please select all that apply.)

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* 7. Which of the following tasks on your clinical documentation improvement (CDI) specialist training ICD-10 timeline have been completed? (Please select all that apply.)

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* 8. Which of the following tasks on your provider training ICD-10 timeline have been completed? (Please select all that apply.)

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* 9. Which best describes the upper management/executive level engagement of ICD-10 in your organization?

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* 10. How would you describe your HIM director’s role in ICD-10 implementation?

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* 11. What area are you most concerned about in relation to ICD-10 implementation?

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* 12. Have you started ICD-10 coding education training for your staff?

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* 13. Whom do you plan to train? (Please select all that apply.)

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* 14. Which aspects of ICD-10 do you anticipate will require the most training? (Please select all that apply.)

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* 15. Do you plan to recruit additional coding staff to meet the challenge of ICD-10 implementation, and, if so, from where?

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* 16. If you answered "yes" to the previous question, when do you plan to begin recruiting?

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* 17. Are you using or do you plan to use computer-assisted coding (CAC) and/or natural language processing (NLP) in the transition to ICD-10?

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* 18. Is coding included in your institution's clinical documentation improvement (CDI) program?

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* 19. Tell us about your successes and challenges regarding ICD-10 implementation.

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