ICD-10 Could Be This Easy!
by Leigh-Ann Renz, 10.15.15
How's ICD-10 Going?
For some practices, the transition to ICD-10 has been smooth: providers are diagnosing with ICD-10 for dates of service 10.1.15 and beyond; continuing to use ICD-9 for dates of service 9.30.15 and prior; and the billing is being efficiently sent out.
Other organizations are struggling: their providers are having to choose from a much larger code pool, which is bogging down their efficiency and causing less invoices to be submitted for reimbursement. Some coders are frustrated by their inability to help providers get the correct codes on the invoices; and management is becoming concerned with the decrease in billing volume.
We've Only Just Begun
Although the ICD-10 deadline was 10.1.15, it will take several months for the full effect of the transition to take hold. Most agencies have just started to bill for dates of service 10.1 and after, and depending on your payers, it may be several months before you truly see what the new turnaround time for claims will be with the new codes. Even if your practice is prepared and properly trained, it’s ultimately up to the payers to determine whether the transition will – or won’t – be successful, and what that means for reimbursements and practice viability.
Struggling With ICD-10? What You Can Do
The 2 most important things you can do to enhance ICD-10 success in your agency is 1) train providers; and 2) support clean claims. Because of the increased complexity of choosing the correct diagnosis code, the burden of ICD-10 is on the provider.
1) You can ease this burden for your clinicians by equipping them with a cheat sheet of their most commonly used ICD-9 codes and the ICD-10 equivalent options. Once they’ve become familiar with the ICD-10 versions of their most frequently-used codes, they should have a much easier – and quicker – time completing session notes and keeping up with client visits.
2) Do everything you can to facilitate reimbursement by payers. This includes simple, often overlooked practices like ensuring that all of your patient demographics are populated and up-to-date. Identify the most common reason that your claims are denied and shore up whatever you can to facilitate timely and complete reimbursement. Click here for four tips to help clean up your claims.
Here's How Easy ICD-10 Can Be for Mental / Behavioral Health & Substance Abuse Practices
PIMSY EHR offers both the DSM-5 codes and a crosswalk from ICD-9 to ICD-10. Here's how easy ICD-10 can be for mental & behavioral health care providers: