Illustrates the computation of hospital training costs and productivity loss costs and estimates a cost for system changes and upgrades in order to arrive at a total hospital ICD-10 conversion cost. We have numbered the paragraphs for easy reference. (And FYI, when the scenario below says “we” it means CMS, not the authors.)
To further illustrate the computation of hospital ICD-10 conversion costs, CMS staff developed a scenario for a typical community hospital in the Midwest. The material presented in the appendix was published in the proposed rule as an example of costs that might be incurred by a hospital. The data were drawn from the American Hospital Directory, available at www.AHD.com. While based on an actual hospital in a midwestern state, the data have been altered to make calculations simpler.
