implementation of icd-10 Diagnonsis Codes
Implementation of ICD-10 diagnosis codes will vary a great deal by the size and type of organization. The larger healthcare providers -- eg, hospitals, hospital-based systems, and even clinic provider organizations -- have more sophisticated systems that need to be remediated and more work that needs to be done than smaller medical practices, but they also have a greater number of resources, including administrative personnel. Smaller healthcare practices may face more challenges in obtaining the information or resources they need about the ICD-10 diagnosis codes, but they will also, at least to some degree, have less work to do than the larger organizations. Regardless of their size, the bottom line for all organizations is that all providers need to start planning now for the ICD-10 diagnosis codes implementation.
icd-10 transitional services
preparation | transition
The transition from ICD-9 to ICD-10 will change how you do business. Healthcare organizations, from large national plans to small provider offices, laboratories, medical testing centers, hospitals and more will need to devote staff time and financial resources for transition activities. Activities include:
1) Identifying how ICD-10 will affect your organization
2) Developing a plan for implementing ICD-10 and creating a timeline of activities
3)Working with vendors on new software/systems to accommodate ICD-10
Coordinating with vendors, payers, and other
icd-9 to icd-10 mapping
Coders in physician practices will need to learn ICD-10 diagnosis coding only, while hospital coders will need to learn both ICD-10 diagnosis and ICD-10 inpatient procedure coding. Take into account that ICD-10 coding training may be integrated into the CEUs that certified coders must take to maintain their credentials.Read More
icd-10 office support
A communication and awareness plan ensures that all your internal and external stakeholders—that is, everyone on your staff and everyone that you do business with who is affected by the ICD-10 transition—understands their responsibilities for ICD-10 implementation. The communication plan should identify:
• Action triggers
• Roles and responsibilities
• Communication methods
• Evaluation techniques
The size of your practice will determine how much planning and documentation will be necessary.
icd-10 billing | revenue cycle management
The transition to ICD-10 will result in changes to physician reimbursements. The nature of these changes will vary based on each practice’s individual contracting arrangements. Physicians should include ICD-10 in their payer contract negotiation discussions to decrease the risk of compliance errors and claims denials. During the transition period following ICD-10 implementation, payers will continue prior reimbursement policies. However as the implications of the expanded, more detailed code sets become apparent, payers may also institute policies that involve greater payment for more complex cases and lower payment for less complex cases. As previously noted, challenges with billing productivity combined with potential payer claim processing challenges may result in significant impact to cash flow. This may require the need for reserve funds or lines of credit to offset cash flow challenges.Read More
Why Choose us
Our consultants can help you get ready for the ICD-9 to ICD-10 transition by training you on the general equivalency mappings for codes you commonly use today, ICD-10 coding training for your specialty and the documentation requirements for ICD-10 implementation.
If you need help with transition in your office, one of our consultants can help with your practice analysis for ICD-10 readiness and train your staff.
Our medical billing staff can also take over your medical billing, alleviating the stress and expense to get your billing department up to speed.