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ICD10 costs are a whole lot higher than expected! Will physicians be ready by October?

February 20, 2014 by Ango Mark Leave a Comment

ICD-10 Implementation

Eyes to the skies! ICD-10 costs are skyrocketing!

The titters have died down! Forget those jokes about walking into a lamppost and macaw bites. ICD-10 is going to bite medical practices much harder. With the deadline for implementing ICD-10 looming closer. It is time for medical practices to do more than just wait for the next pushback announcement.

As every day, news trickles about the cost of implementation and the impending deadline, physicians are shaking in their boots. But there is little hope for another deadline shift.

The shocking increase in costs over the last four years!

The approximate cost for implementing ICD-10 in 2008 was $83290. Four years down the lane the costs have escalated to $226,105.

Medium sized practices are going to feel the pinch as well; from costs estimated to be 285,195 in 2008 it has now skyrocketed to 824,735. And the costs are going to be as much as 8 million dollars for large sized medical practices.

The costs come as a sticker shock for medical practices that are still reeling under the pressure of accommodating the enormity and breadth of ICD-10. Medical coders who were using a coding system for several years are now faced with the challenge of working with codes that are absolutely foreign to them.

Though people on the other side of the wagon argue that greater specificity can help researchers and increase reimbursements, long term pay offs mean short term losses.

It is not going to be an easy transition…

Well almost everybody knew it! Right from the day ICD-10 was announced there have been voices of dissent. But as the deadline draws near it is clear that physicians have been caught off guard. It is going to change the workflow of medical practices and medical practitioners are justifiably, freaked out.

Still don’t have an ICD-10 coder?

Practices cannot afford to bill without a trained coder. Hiring novices means struggling under a deluge of rejected medical claims. An increasing number of medical practices are thinking of hiring virtual coders. Or, fall back on the time tested solution of outsourcing.

It is the hour of reckoning and practices should either ramp up their implementation process or stay behind. Complaining about the costs is not going to help physicians. Trying, to find ways to protect their revenue stream, and, investing in the new coding system, will.

Filed Under: ICD-10, Medical Coding Tagged With: ICD 10, icd-10 cost, icd-10 implementation, ICD-10 Medical Coding

MU 2 timeline shift; what it means for your practice?

December 20, 2013 by Ango Mark Leave a Comment

Meaningful Use stage 2

Yet another MU 2 pushback; but is there a reason to cheer?

There seems to be a new government announcement every single week. The latest update to cause major ripples was the recent MU2 extension. As with all other healthcare updates it was received with skepticism, hope, and a whole deal of confusion.

The dust has settled now and Eligible Professionals (EP) are back to preparing for MU2. It is clear that MU2 has been extended through 2016 but there will be absolutely no shift in the start dates. But this will definitely give EPs enough time to formulate a more solid Meaningful Use plan.

Some breathing room…

2014 is going to be a trying year for physicians. Meaningful use deadlines, ICD10, and freezing on a payment model that works, there is going to be a lot on the plate. The early birds who are going to attest in 2014 will get an extra year in 2016. EHR vendors can also have enough time to better their systems and focus on the Achilles heel of most EHRs, interoperability.

More time for MU3…

The timeline shift will offer medical practices some amount of breathing space and flexibility. There will be additional time to prepare for Meaningful Use stage 3. And a wee bit more flexibility when it comes to certification.

Can the shift impact ICD 10 implementation?

Unfortunately, yes. Healthcare industry experts suggest that now there is absolutely no possibility of yet another delay to implement ICD10. October 1st 2014 is a date set in stone according to senior health insurance specialist at CMS, Denescia Green. “This is a firm date” she said, earlier this month.

Hopes dashed!

 Physicians who were hoping for a delay in ICD 10 are in for bitter disappointment. The government cannot afford another delay, so there is going to be increased pressure on physicians to transition to the new code set. One major plus would be that practices can utilize and focus their resources, on ICD 10 alone. There wouldn’t be as many deadlines jostling for attention.

Have great staff on board?

This is one question that most practice owners forget to ask themselves. Human resources, seems to be a grossly overlooked factor. With 2014 being a rollercoaster year, not focusing on hiring or training staff, can be the perfect recipe for disaster. Most medical practices are caught up with improving their technical infrastructure and exploring new business models.

But for sustainable success and change, having the right people on board, is the only solution. So, practices can rely on trained personnel and not pushbacks for meeting deadlines.

Here’s a brief presentation on Meaningful Use for medical practice.

Filed Under: Meaningful use Tagged With: ICD 10, Meaningful Use stage 2, meaningful use stage 3, physicians practice

Complicated Crosswalks, More Codes And Stricter Documentation Requirements. But ICD 10 Is Not The Loch Ness Monster !

May 15, 2013 by Ango Mark Leave a Comment

Are you ready to get cracking on ICD 10 ?

The deadline for adopting ICD 10 is inching a little closer every day ! It is time for the eternal question. Are you prepared? A study by the Health Revenue Assurance Associates says that 20% of medical practices are yet to start an education or training program on ICD 10.

About half of the medical practices surveyed were way behind timelines set by Medicare and Medicaid. The transition is going to be tough. No matter what mild mannered, reassuring experts say ! And that is why the sooner a practice makes the switch, the better.

Confounding crosswalks…

Medical practitioners who think cross-walking ICD 9 codes with the latest codes is just a matter of few mouse clicks, have a second think coming. The General Equivalence Mappings does offer a detailed crosswalk of both the coding systems.

But the fact that there are very few one to one matches between both coding sets is going to make the transition, tricky.

According to a study by researchers from the University of Michigan and Illinois, mappings for specialists are going to be, especially, complex. Emphasis has to be laid on understanding and managing, mapping categories and networks.

ICD-10-Crosswalk

A little bit of effort from everybody…

It isn’t the coding or billing team alone that is going to struggle with the new codes. It is going to take a bit of effort from all concerned.

As ICD 10 is all about greater specificity and granularity, physicians will have to focus more on the medical documentation they send to the billing team. More documentation could mean just one thing, more revenue !

Have you forgotten your insurer ?

Well, your insurer is a part of your team as well. Ask for a testing plan and send a few “test” claims to the insurer. Coordinate with your payers to make sure you are ready for the D day. Keep in mind that you cannot send ICD 10 claims till the compliance date. But don’t let that stop you, from sending out trial claims, to payers.

Why ICD 10 is not the Loch Ness monster, after all !

The entire hullabaloo surrounding ICD 10 makes the codes look like small, poisonous creatures, out to get physicians. In the long run ICD 10 can prove to be good for practices. It could mean more accurate payment for medical procedures. Fewer miscoded claims. And, a better idea of how much you’d be paid, prior, to a medical treatment.

Filed Under: 2013, 2014, ICD-10, Medical Coding Tagged With: Healthcare, ICD 10, ICD-10 Certified Coders, ICD-10 Crosswalk, ICD-9, Medical Coding, Physicians

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