Another important goal for all
practices to consider will be to keep
the revenue cycle steady—there will
be a drop in productivity as your
billing and coding staff becomes
more familiar with ICD-10
guidelines.
When Canada implemented
ICD-10 in 2002, coder productivity
dropped by 50% and only rebounded
to 75% of its pre-ICD-10 level a year
later. A similar effect may be expected
in the United States.
Even though the amount of
time, work and resources needed
PROVIDER
PREVENTABLE
CONDITIONS REMINDER
Providers submitting
a claim for Provider
Preventable Conditions
(PPCs) for a surgery or
other invasive procedure
performed in any
outpatient setting must bill
with modifiers
PA, PB or PC.
Less Than a Year Away
ICD-10
Migration
for ICD-10 migration might seem
overwhelming and unnecessary
to some providers, this change
needs to be viewed as a strategic
initiative for the organizations that
will improve the performance and
analytic capabilities of the health
care systems.
CMS has repeatedly announced
that ICD-10 transition will not be
delayed and all health care entities
should aim to be fully compliant
by the October 1, 2014, deadline
to ensure timely payments on their
claims.
New Corrected Claim Submissions
Policy in Effect January 1, 2014
A new policy for the submission of corrected claims will go into effect
January 1, 2014. Our definition of a corrected claim is: any claim
that has a change to the original claim. For example, a claim that
has been processed, whether paid or denied, and was resubmitted
with additional charges, a different diagnosis, or any information
that would change the way the claim was originally submitted and/
or processed. Please refer to Policy 600-1009- Corrected Claims
Submission, available on our website here,
for additional details.
T
ime remaining until the
official ICD-10 deadline
is shorter than you think.
We are now less than one year away
from October 1, 2014. Regardless
of the size of your organization,
it is vital to the success of your
implementation to secure a project
leader. While larger facilities may
not be affected by the lack of
trained staff or budget deficits,
smaller practices will feel the strain
of ICD-10 implementation. Staff
training, system conversions and
lack of preparedness are areas that
will affect a smaller office more
than a larger one with deeper
pockets and more resources. If
you have not started your ICD-10
action plan, please start as soon
as possible. You may consider
starting by communicating with
your software vendor about
ICD-10, training your staff and
physicians, and spending time
reviewing and modifying your 2014
budget to account for ICD-10
implementation expenditures.
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