The focus now should be on having Coders ready for the conversion through solid clinical foundations (terminology, anatomy, physiology, pathophys), if necessary. It should not be on "teaching" providers ICD-10.
Although not tapped to participate in practice conversion yet, my approach would be to eliminate encounter forms and work on providers' documentation. If you take away the crutch of providers and coders using encounter forms now, refocus coders on abstracting from the record and have coders query for information when documentation is insufficient, you should have a superior level of detail by 2013.
The providers and coders will not be so reliant on encounter forms and the folks who know the guidelines (Coders) are then applying them to the coding. This supports coding compliance and minimizes provider coding error. It also supports a working relationship between providers who really need re-trained on documentation integrity and detail and the coders who just need practice in abstraction and utilizing a new coding system.
Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I