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Addressing Top ICD-10 Concerns
The document discusses several challenges organizations will face when implementing ICD-10 codes, including expense of the transition, vendor readiness, impact on productivity, cash flow impact, and the importance of testing systems before the deadline. It provides recommendations to conduct an impact assessment and budget accordingly, evaluate vendor preparedness, improve documentation practices to minimize coding errors, and plan strategies to manage potential denials and disruptions to cash flow during the transition period.
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Addressing Top ICD-10 Concerns
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- 3. • AMA estimatescost for 3-MD practice = $83,290 • You can’t budget for your organization until you understand what it will involve: • Conduct an impact assessment • Budget time and resources accordingly
- 4. Impact Analysis • What systems / workflows does ICD-9 touch today? • Who needs training? • Coders, billers, physicians • How will EHR adoption impact practice mgmt., billing, coding, reporting, etc.?
- 5. • Budgeting mayrequire you to make educated guesses on expenses that cannot be calculated • Ex: Diminished productivity for coders and providers during the transition
- 6. Challenge: Vendor Readiness
- 7. • Ask vendorsabout their ICD-10 prep and anticipated timelines. • Not confident your EHR vendor will smoothly transition your system to ICD-10? • Consider switching to an EHR partner that is committed to ensuring your success.
- 8. Challenge: Productivity Impact
- 9. • BCBS Associationestimates coding errors will increase 10-25% in 1st year of transition • Improving clinical documentation is one of the best ways to prepare for the transition’s impact on productivity of physicians and coders.
- 10. • More codesmeans more documentation • Documentation Considerations • Linking relevant conditions • Initial Encounter → 7th Character Extension “A” for Patient under Active Treatment
- 11. • Documentation Considerations • Subsequent Encounter → 7th Character Extension “D” for Routine Injury Care during Healing / Recovery • Sequela → 7th Character Extension “S” for Complications / Conditions resulting from an injury (E.g., Scar resulting from a burn)
- 12. • Clinical DocumentationAssessments • Do random samples support ICD- 10 coding? • Implement Documentation Improvement Strategies • Train → reassess → train again • Appoint an ICD-10 Implementation/ Documentation Champion
- 13. Challenge: Cash Flow Impact
- 14. • The ICD-10transition is likely to cause disruptions in cash flow for a number of reasons. • Clean claims may take longer to be submitted due to productivity declines. • Denials may spike due to mapping or coding errors.
- 15. • Take stepsto protect cash flow during the transition: • Budget for additional cash reserves • Ask major payers about their readiness to process claims coded in ICD-10
- 16. • Take stepsto protect cash flow during the transition: • Improve clinical documentation to minimize denials • Plan your strategy to manage denials before, during & after ICD-10 implementation
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- 18. • Plan toconduct testing using the ICD-10 codes as a critical step in preparing your organization for the ICD-10 transition. • Internal testing • External testing
- 19. Want to learnmore about ICD-10? Watch a free recorded webinar at successehs.com/archived- webinars.
- 20. Need a healthIT partner to help you achieve success with ICD-10, Meaningful Use & more? SuccessEHS can help. Visit www.successehs.com to request a demo.