Dec 3, 2014 | Uncategorized
Recently, physicians requested Congress delay ICD-10 until 2017.nnThe most recent delay of the code sets has already cost the healthcare industry approximately 6.8 billion dollars.nnWe cannot afford another delay. Write your legislators today and ask them to support the October 1, 2015 compliance date.nnBelow is an example letter, as provided by AHIMA.n
As your constituent, I am writing to express my support for the October 1, 2015 compliance date to transition to ICD-10-CM/PCS. The code sets have already been delayed twice, providing plenty of time for members of the physician community to transition.
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As a result delays, Health Information Management (HIM) professionals, health plans, and health care clearinghouses educators, vendors, providers and payers lost investments that were made to prepare for the transition. The Center for Medicare and Medicaid Services estimated that the 1 year delay cost the healthcare industry up to 6.6 billion dollars. We cannot afford another delay. HIM work to ensure quality health information and patient safety. To ensure better health data and quality of care, I urge you to move forward with the implementation of ICD-10-CM/PCS and to oppose any future legislative efforts to delay the code sets.
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Additional points of consideration include:
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- According to a recent survey, small physician practices are expected to spend between 1,900 and 6,000 to transition to the new code set. The study can be found on www.coalitionforICD10.org.
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- Physician practices do not use all 13,000 diagnosis codes available in ICD-9. Nor will it be required to use the 68,000 codes that are in ICD-10. The majority of the code increases are due to laterality-which is not currently available in ICD-9.
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- CMS offers a robust plan for physician practices to transition to ICD-10. Click here to view The Road to 10.
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- Without ICD-10, the return on investment in EHRs and health data exchange will be greatly diminished.
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A legislative delay of ICD-10 will substantially increase total implementation costs, as HIT expansion requires more systems changes and many previously-completed steps become outdated and need to be repeated. Additional delays in implementing and using the ICD-10-CM codes will also delay the move to pay for healthcare on the basis of quality and outcomes and also complicates the consumer’s ability to choose high quality, low cost healthcare.
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Please provide information on how you plan to vote on any future efforts to delay ICD-10-CM/PCS implementation.
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CLICK HERE TO SEND THIS TO YOUR US SENATORS AND US HOUSE OF REPRESENTATIVES TODAY!
Dec 3, 2014 | Uncategorized
C43.31 — Malignant melanoma of nosenC43.11 — Malignant melanoma of right eyelid, including canthusnC43.22 — Malignant melanoma of left ear and external auricular canalnC43.52 — Malignant melanoma of skin of breastnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to contact us for all of your training and education needs!
Nov 20, 2014 | Uncategorized
J00 — Common coldnT48.4X1A — Poisoning by expectorants, accidental (unintentional)nT48.3X5A — Adverse effect of antitussivesnT48.5X6A — Underdosing of other anti-common-cold drugs
Nov 14, 2014 | Uncategorized
R29.4 — Clicking hipnH93.12 — Objective tinnitus, left earnR01.0 — Benign and innocent cardiac murmursnR19.12 — Hyperactive bowel soundsnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to contact us for all of your training and education needs!
Nov 14, 2014 | Uncategorized
ICD-10 preparation is still lagging as providers continue to worry about testing, revenue, and productivity.
nA worrying number of providers are still missing some of the basic building blocks of a successful ICD-10 transition plan, AHIMA and the eHealth Initiative found in a new survey, including financial impact assessments and plans for internal and external testing. As the clock ticks down to the latest ICD-10 deadline of October 1, 2015, the industry continues to be plagued by a lack of education, understanding, and action that puts some organizations at risk for reimbursement troubles and revenue woes.n
The survey did reveal a few encouraging statistics, especially around the readiness of many organizations to conduct internal testing during the final months of 2014. Among the hospitals and physician providers who responded to the survey:
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- Of the 65% of providers who believe they will be able to begin end-to-end testing before the October 1, 2015 compliance date, 63% will be ready to start by the end of 2014.
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- Most of the larger organizations participating in the survey indicated that they will be testing in 2014, while smaller organizations and physician practices were more likely to be ready later in the preparation period.
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- When it comes to revenue cycle impacts, 6% of providers are anticipating a spike in reimbursements. Fourteen percent think ICD-10 will neither increase nor decrease their revenue collections.
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- Forty-one percent of providers believe that ICD-10 will improve the accuracy of their claims long-term, while 29% anticipate better quality of care and 27% are looking forward to improvements in patient safety.
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- Providers intended to make ICD-10 work for them for quality improvement (63%), performance measurement (52%) and outcome measurement (41%). Sixty-three percent think the increased specificity will have a positive impact on claims processing and billing.
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- Organizations are making good use of the one-year delay instituted in April. Sixty-two percent are working on clinical documentation improvement, 47% are dual coding, and 59% will take the opportunity to bolster their educational programs with the extra time available to them.
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The not-so-good news
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Despite the optimism from many organizations, there remains a significant gap between the well-prepared and the lost at sea. Familiar challenges such as clinical documentation improvement, coder productivity, and the scope of financial investment still top the list of worries as the industry moves closer to compliance.
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- Ten percent of organizations do not have a plan in place for conducting end-to-end testing, and 17% don’t have a clear idea when their organization will be ready to begin the lengthy and cumbersome testing process.
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- Among those who have no plans to test, more than a third cited a lack of knowledge as the reason they are stalled. Forty-five percent of those providers are clinics or physician practices that fall on the smaller end of the spectrum.
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- Thirty-five percent of providers believe they will take a hit to their revenue cycle from the new code set. Eighteen percent are unsure of how ICD-10 will affect their billings.
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- A whopping 27% of providers have not completed financial impact assessments, which is one of the first steps organizations should take in order to chart a course towards compliance.
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- Unsurprisingly, the majority of providers believe that coding will become more difficult under ICD-10, while 42% anticipate clinical documentation challenges. Forty-one percent expect that adjudicating reimbursement claims will be harder.
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- Barriers to implementation include changes to the clinical workflow and a loss of productivity (56%), inadequate staging, (49%) and effective change management (48%). Just under half of providers are worried that their vendors and business partners won’t be ready on time.
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nSource: www.ehrintelligence.com; Jennifer Bresnick; November 7, 2014.
Nov 7, 2014 | Uncategorized
M17.0 — Bilateral primary osteoarthritis of kneenM16.7 — Other unilateral secondary osteoarthritis of hipnM25.662 — Stiffness of left knee, not elsewhere classifiednM25.551 — Pain in right hip