There is some uncertainty about how ICD-10 will be implemented industry wide. But one thing is certain. Claims reimbursement will not be the same under ICD-10 as under ICD-9. Revenue neutrality will be a difficult to achieve. Either an increase or decrease in revenue will have a negative impact to payers or providers.
When planning for an ICD-10 implementation, payers and providers should create a special set of test cases that can be run to estimate the percentage impact to revenue. See our recent blog post on the potential revenue and cash flow impacts of ICD-10 procedure codes, and the greater specificity of information that will not only be available but required for inpatient procedures. This information will help make the ROI and benefits clearer for an ICD-10 implementation.