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Posts Tagged ‘ICD-10’

ICD-10 Consulting Shift to Testing and Revenue Impacts

Friday, October 17th, 2014

ICD-10 consulting will shift in the next year from IT centric to testing and revenue impacts.   Many ICD-10 ready IT systems, providers and payers won’t know if they really have an end to end solution until they test it using ICD-10 claims that are based on documentation that is coded in ICD-10.

ICD-10 revenue cycle management impacts for providers and ICD-10 based coverage determinations for health plans are only hypothetical until they are tested.

ICD-10 consulting efforts, in our experience are subject to the regulatory delays and human nature being what it is, there was a lull in activity after the delay.  Now that we are within a year of the October 1, 2015 mandate, we expect to see more ICD-10 consulting work that is focused on ensuring end-to-end electronic claims processing actually works.  The financial impact of ICD-10 is still under-estimated.

ICD-10 analytics in an ICD-10 risk assessment will be helpful to examine assumptions made in ICD-10 cross walks.  ICD-10 data integrity will also be important to review.  The ICD-10 implementation plan should include a review of ICD-10 CM diagnosis codes, which will be important for all care providers whether acute care or outpatient care.  ICD-10 PCS procedure codes will be important for inpatient care.  Testing of these assumptions is the only way to assure business continuity under ICD-10.

Below is an article I wrote on ICD-10 financial impacts

http://www.govhealthit.com/news/could-icd-10-have-big-financial-impact-mortgage-crisis

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ICD-10 Consulting from No World Borders

Friday, June 27th, 2014

ICD-10 Consulting can help your company avoid a  Train Wreck whether a health plan, health care provider, health IT firm, pharmaceutical firm, self-insured employer, DME or Medical Device firm

ICD-10 Consulting can help your company avoid a Train Wreck whether a health plan, health care provider, health IT firm, pharmaceutical firm, self-insured employer, DME or Medical Device firm

ICD-10 consulting 

is now being offered by many firms but most focus on IT and training.  Our company has been doing ICD-10 advisory services since before ICD-10 was mandated.  A multi-disciplinary approach to ICD-10 is important.

Learn how your company can benefit from improved clinical documentation for ICD-10

Learn why mapping and codes are not as important as capturing the correct clinical concepts for ICD-10

Understand why ICD-10 introduces new revenue cycle management impacts and risks for health care providers

Understand why Electronic Health Record vendors alone cannot make your company compliant with ICD-10

See how ICD-10 analytics can be used to visualize risk, engage physicians and reduce ICD-10 impacts.

You can also learn from our team why ICD-10 consulting should also include ICD-10 financial impact assessments  and ICD-10 testing plans.

Related Posts

Understanding a ICD-10 Financial Risk Assessment

Service line risks – examination of ICD-10 reimbursement risk by service line

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