ICD-10 consulting will shift to testing and revenue cycle impacts in the next few months. Testing is the only way to ensure business continuity.
ICD-10 (International Classification of Diseases version 10 developed by the World Health Organization or WHO) code set has the potential to bring new analytical capability to pharmaceutical and medical device companies eager to improve efficiency and to differentiate themselves in the new regulatory economy. Today’s pharmaceutical and medical device company analytic capabilities are not sufficient [...]
When thinking about ICD-10 program governance, one of the key areas for both traditional Fee for Service (FFS) medicine and the transition to episodic (short-term) and longitudinal data for comparative effectiveness medicine in the Affordable Care Act is the Case Management process and supporting software and reports.
Does your organization have Standard Operating Procedures (SOPs) that use ICD-9 CM diagnosis or ICD-9 procedure code information? If so, those procedures and systems need to be evaluated as part of the ICD-10 Impact Assessment.
Case Management should benefit the entire system, bridging clinical and financial ares of healthcare. Underlying Case Management processes are a number of functions. Case Management also relies on specific diagnosis codes. If hard-coded information or ICD-9 specific methods of capturing this information are in Case Management Systems, they will need to be remediated or replaced to support ICD-10.
Summary financial risk information Financial impact data by physician, coder , facility, specialty, to prioritize training and staffing decisions Encounter-level analytics to prioritize clinical documentation improvement process, testing, and compliance activities Payor contract data organized by reimbursement variations Code-level analysis to drive remediation Trending and ICD-10 financial risk benchmarks
If you are in a CoC hospital registry, you are also collecting complications and co morbidities, which are ICD-9-CM codes. These codes will be replaced by ICD-10-CM.
Finally, uncertainty about ICD-10 is lifted. "...rule changes the compliance date for the ICD-10-CM and ICD-10-PCS medical data code sets (hereinafter "code sets") from October 1, 2013 to October 1, 2014."
We do not support a delay in ICD-10. The delay hurts not only those who have invested dutifully to meet the CMS mandate on time, but it hurts independent contractors, small businesses, and Healthcare IT vendors who fill knowledge gap in Covered Entities who don't have the staff internally to meet this mandate.
On April 9, 2012 at 10:10am Pacific / 1:10pm Eastern time the Centers for Medicare and Medicaid announced a one year delay in ICD-10 to October 1, 2014.
Health care providers should ensure that the EMR vendor is on track toward ICD-10 compliance, however they should not rely on their EMR vendor as the panacea. Most hospital systems we work with have many more ancillary systems in radiology, etc. that are also impacted, and the EMR isn't the core system of record (yet) for everything that goes on in a hospital.
Today's Wall Street Journal article on Reverse Mentoring sparked a thought. Healthcare needs reverse mentoring. RM was championed at GE by Jack Welch when he was chief executive. He ordered 500 top-level executives to reach out to people below them to learn how to use the Internet. Mr. Welch was matched with an employee in her 20s who taught him how to surf the Web. The younger mentors "got visibility," he said. For healthcare to change physicians, administrators, IT people and others should reach out to youth.