Saturday, February 21, 2015

Built-in or Bolted-on ICD-10: What’s the Difference and Why Does it Matter?

What You Need to Know about the Different Solutions for ICD-10

The bottom line

Diagnostic codes will rise from 13,000 to more than 68,000 – a nearly 425% increase.


Built-in or Bolted-on ICD-10: What’s the Difference and Why Does it Matter? What You Need to Know about the Different Solutions for ICD-10.

Most doctors, if not their office managers, are aware of the impending chage i medical diagnositc coes that will take effect. Medical pratices will have a massive adjustmet beginning on October 1, 2015 with the introduction of the 10th revision of the Internationnal Statistical Classification of Diseas (ICD 10), a medical classificatin list by the World Health Orgaizati (WHO). Proper knowldedge and use of the codes in billig for services will determine if doctors ge paid.


The problem that most EHR  vendors have is that they don't have the EHR data recorded in a way that that they could create an  algorithm to identify a specific ICD-10 code.

Many of today's current generation of EHRs billing codes generate effortlessly right along with examination notes. Converting from a numeric five digit to a seven digit alpha-numeric code will be a major change for billing accurately.  The new system uses codes for L or R or bilateral diagnoses, instead of modifiers.

Providers should not panic, nor underestimate the nature of the change.  Some experts advise to plan on securing loans to help finance the transition and to cover monetary losses due to the conversion process.  Staff planning and training are essential.

Many EHR vendors say their systems are EHR ready, but this may only be mapping or translation tools rather than an integrated coding system.

Summary:

Just having 68,000 codes in your EMR system to choose from in long lists isn't a time-saving or cost-effective option.  For efficiency, billing codes should generate effortlessly right alog with with your exam notes. Your EMR must be built around ICD-10--it should be it's native tongue', and not have ICD-10 conversion bolted on.

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