The switch to ICD-10 is still due for the United States,
since the rest of the developed countries like UK, France and Australia have
made the changeover from ICD-9 to ICD-10 back in the 1990s.
ICD-10 was introduced to physicians and provides them with a
more precise way of coding the patient data. This is important as the diagnosis
and their relevant treatments have changed significantly in the last decade
since the beginning of ICD-9. However some physicians have their apprehensions
about the enhancement in specificity that can lead them to more claim denials.But there is no need to be worried about. Using the ICD-10
will help remove uncertainty and will eventually reduces the amount of
documentation needed to validate the claims. Thus there will be fewer denials
as it will be easy to assign the codes correctly.
Challenges faced in
transformation
The ICD-9 is in the use for very long time that it has
become an important part of our health system. From technical schools to the
professional ICD-9 coders and insurance companies. All of them have a system
built on use of ICD-9.
Small practices are going to hit the hardest by this change.
In a study carried out by the American Medical Association (AMA) in
collaboration with other medical groups, the transformation cost can be as much
$84000 for small practices and $300,000 for practices consisting of 10
physicians. Most of these costs are associated with training of the staff,
revision of super bills and modifications in work and cash flows. The study
further revealed that payer contracts and enlarged documentation costs are
additional costs to overcome.
Overcoming the
challenges
As the deadline draws closer, physicians are trying their
best to make sure their revenues are not affected by the ICD-10.
Maybe the most important part of transformation for the
practices is to synchronize themselves with their vendors in order to make
smooth transition from ICD-9 to ICD-10. However there will be a significant fee
the clients have to pay in order to upgrade to the new coding set.
Much more will be required than just a quality health IT
vendor for a smooth transition to ICD-10. Physicians have to study on the new
regulations and prepare themselves for ICD-10. Also a fair amount of training
will be needed. Attending webinars about ICD-10 and utilizing any kind of material
to get staff ready for the change.
It is important that you prepare your practice for the
ICD-10 before October 2014 and make the appropriate decisions that will help you
avert paying high price for the transformation. Although the early stages of
ICD-10 will not be simple, but preparing and planning ahead of time will help
you save lots of effort and make it less painful.
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