GeBBS Healthcare Blog

Specificity of ICD-10 Coding Can Improve Reimbursements for Vaccine Administration

Posted on Wed, Jan 11, 2017 @ 10:15 AM

Administration of vaccines is an important part of healthcare delivery, and a critical contribution to preventive public healthcare. However, risings costs are making it difficult to align vaccine administration expenses with revenues.

There may be some relief to these rising costs and it comes from something that was once seen as a burden for medical practices. That relief comes in the form of ICD-10 coding.

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The transition to ICD-10 was seen as an administrative burden for many practices, but it does offer some relief in aligning vaccination reimbursement with actual costs. Compared to the previous coding system, ICD-10 recognizes the type of vaccine provided by the CPT or HCPCS code entered, negating the need for individual diagnosis codes.

The American Academy of Family Physicians (AAFP) offers specific coding guidance for practice billing patients covered by Medicare Part B and Medicare Part D. The Centers for Medicare & Medicaid Services (CMS) also offers guidance on choosing the right code for adult vaccinations, including the seasonal flu shot.

Correct coding is essential to receiving the proper reimbursements. A robust Health Information Management (HIM) coding program has never been more critical to the success of healthcare organizations than it is now. If your practice is not sure whether or not you have the expertise to code properly and receive the optimum reimbursements you deserve, it’s time to engage with a partner who brings a deep understanding of how proper coding affects the revenue cycle.

GeBBS Healthcare Solutions provides Health Information Management (HIM) solutions that cut through the complexity with expertise, operational excellence, and a sophisticated approach. We are a leading provider of outsourced medical coding and coding validation audits, and we have a unique insight into your challenges when it comes to data quality and coding accuracy, productivity, and reliability.

Let our team of expertly trained and qualified Health Information Management coders, who adhere to the best practices in the HIM coding field, make sure you receive the optimum reimbursements for your vaccine administrations.

Tags: Revenue Cycle Management (RCM), RCM Solutions, ICD-10, Medical Coding, Medical Coding BPO, coding outsourcing, outsourced coding, outsourced medical coding

Coding Denials “Wait and See What Happens” Will NOT be a Good Strategy When the ICD-10 Grace Period Ends!

Posted on Wed, Sep 28, 2016 @ 11:20 AM

The Centers for Medicare & Medicaid Services’ (CMS) grace period for denials of claims under ICD-10 will end on October 1, 2016. Healthcare providers and billing companies must be prepared for this deadline and its financial effects.

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When CMS instituted the new ICD-10 program last year, it announced that Medicare claims would neither be denied nor audited based on their coding, as long as practices submitted an ICD-10 code from the appropriate family of codes. 

Physicians and hospitals need to be prepared for the end of this grace period, especially with their high-volume diagnoses. The time leading up to the deadline needs to be spent on staff training and ascertaining that you are prepared for the actual, correct ICD-10 coding. Healthcare providers need to be prepared for decreased staff productivity and possibilities of other financial challenges during the remainder of the ICD-10 grace period. 

A recent article in the ICD10monitor entitled “ICD-10 Denials Are Increasing: Fact or Fiction?” written by Kim Charland, BA, RHIT, CCS, stated that, “Several industry experts have been indicating over the last few weeks on ICD10monitor’s weekly Internet broadcast that ICD-10 denials do seem to be increasing. Due to many factors, ICD-10 coding accuracy rates are hovering on average in the 80-percent range, and there seems to be an expectation that denials will begin to increase.”

In addition, a recent ICD10monitor poll conducted to see how provider subscribers are actually doing, found that 71 percent of respondents have seen an increase in ICD-10 claim denials since ICD-10 implementation and 58 percent have experienced an increase in denial dollars since the implementation of ICD-10.

In the article, a past chairman of the Healthcare Finance Management Administration (HFMA) and a former hospital CFO suggested for an average-size hospital, the average increase in denials could be $1 to $3 million.

GeBBS Healthcare Solutions can help you be prepared for the end of the ICD-10 grace period and its effects on your coding denials. We can help you improve your coding accuracy which always carries a significant impact on reimbursement and cash flow. Denials, which will be exacerbated by the end of the grace period, reinforce the need for coding accuracy training. The number one reason for complex RAC denial is inpatient coding error. Eighty-one percent of hospitals report complex denials based on IP coding errors and 40 percent of hospitals report OP coding errors have the largest financial impact.

Is your coding ready for the ICD-10 post grace period?

Tags: Medical Coding, Medical Coding BPO, Remote Medical Coding, Outsource Coding

CMS and AHIP Move to Improve Healthcare Quality Measures

Posted on Thu, Apr 28, 2016 @ 04:00 AM

The Obama administration and health insurers took steps recently to standardize and improve the measures that are intended to gauge the quality of healthcare. The CMS and trade group America's Health Insurance Plans (AHIP) have announced an agreement to adopt a core set of quality measures for the nation's doctors. Officials say the measures are necessary as payers and consumers bear more responsibility for finding and purchasing high-quality care and providers are increasingly paid under contracts tied to their quality performance. This is a good move!

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Nobody benefits when doctors spend time collecting different data for multiple insurers instead of using those resources to improve the quality of patient care. This agreement to standardize quality measures can accelerate development of capturing data that patients care about most – how fast they recover from any illness or treatment.

The most important aspect of this new quality program will be how it deploys superb clinical documentation and expert medical coders to identify and codify these new quality measures.

Medical coding is the lifeblood of a revenue cycle, regardless of whether or not it is used in pay-for-performance contracts. Accurate and efficient coding is crucial to meet financial and compliance goals. Medical coding can be complex yet time sensitive, where being down even a single coder can impact revenue. Healthcare providers need reliable medical coders who are accurate, productive, and experts in all types of inpatient and outpatient coding.

An expert HIM company can provide immediate, experienced coding professionals to help healthcare providers capture these new quality measures. Whether the medical coders work on-site or remote, U.S. or global, their knowledge and training is top notch. They know the most current coding regulations and keep up to date with the latest in patient care in the clinical and hospital setting. Strict enforcement of coding compliance guidelines, ongoing reviews, and a commitment to continuing education promotes coding accuracy, data integrity, and proper claims submission.

These new quality measures are also making accurate clinical documentation more important than ever. RAC, Medical Necessity, ICD-10, pay-for-performance, and the growth in volumes resulting from the ACA are all impacting healthcare organizations. The ability to get reimbursed is directly dependent on the quality of clinical documentation. Missing, poor, or non-specific clinical documentation will result in lost revenue.

Outsourcing can help you comply with the new quality measures and get you paid faster by improving your clinical documentation. Outsourced CDI specialists are professionals of the highest caliber. They are credentialed, experienced, and they are passionate about getting even the smallest details right. Whether the CDI professionals are assessing your program or supplementing your staff, they can help you develop, improve, and maintain your clinical documentation to meet the new CMS and AHIP quality measures.

Tags: Business Process Outsourcing (BPO), HIPAA, Medical Coding, Offshore Medical Coding, Outsource Coding, Medical Coding BPO

All is Not Well in the Small Hospital World When It Comes to the ICD-10 Transition

Posted on Fri, Nov 06, 2015 @ 07:00 AM

By Nitin Thakor, GeBBS President & CEO

So far small hospitals and small health systems are not faring as well as large hospitals and health systems during the ICD-10 transition. The press is full of reports about how well the transition is going for large hospitals, but that is not the case for smaller community hospitals.

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There are several reasons for this.  Many smaller hospitals were not as well prepared as the large hospitals. They just didn’t have the budget to conduct intensive preparation campaigns. Also, the lack of clinical documentation improvements (CDI) by their physicians seems to be an issue, and for some their greatest challenge.

Many physicians have taken little or no advantage of ICD-10 training. This has led to a lack of knowledge on the documentation of procedures and diagnoses to meet the specificity requirements of ICD-10.

An even more common problem seems to be that many small hospitals, typically under 300 beds, have offered very little training to their physicians, either because of opposition by hospital physician staff, or ICD-10 transition teams did not understand the importance of upgraded documentation.

These small hospitals are working hard to catch up by adopting programs to help them meet the challenges of ICD-10.  In getting a late start to cope with ICD-10, many small hospitals are considering using an outsourcing medical coding and outsourcing medical billing partner, who has been diligently preparing for the ICD-10 transition for several years. An experienced outsourcing partner can provide immediate expertise to ensure small hospitals’ revenue risks are minimized. 

Working with a knowledgeable outsource partner can also reduce costs and overhead complexity. Expertise is available and there is no need to face the transition alone. Select an outsourcing partner on the basis of their coding and billing experience and knowledge. All of their coders will have undergone a stringent screening process to verify their skill level, education, experience, and level of professionalism. Most will be certified RHIT, RHIA, CCS, CCS-P, CPC or CPC-H.

An outsourcing partner can also provide targeted training programs to help physicians with CDI and to help hospitals retain their most experienced medical coders - those who will be the most valuable during the next year or so of the ICD-10 transition.

Finally, small hospitals need to take advantage of new technology that has dramatically changed the medical coding process within health information management.  Computer-assisted coding or CAC is a cutting edge technology that automatically derives medical codes within clinical documentation. CAC technology is an enterprise-wide coding solution that improves and enhances the overall coding process. It combines expert workflow technologies, rules-based automation, and certified coders to guarantee accuracy rates of over 95%.

Getting a late start does not mean you cannot win the ICD-10 race; it just means you have to work a little harder and smarter!

Tags: Business Process Outsourcing (BPO), Revenue Cycle Management (RCM), Healthcare Revenue Billing, Medical Coding, Knowledge Process Outsourcing (KPO), Offshore Medical Billing, Offshore Medical Coding

Survey Shows About 80 Percent of Hospital CFO's Consider Outsourcing RCM to be the Best Stop-Gap Measure

Posted on Mon, Oct 19, 2015 @ 08:00 AM

By Nitin Thakor, GeBBS President & CEO

offshore medical codingAccording to a recent survey reported in Healthcare Finance, 83 percent of hospitals now outsource some accounts receivable and collections, 58 percent of hospitals outsource some contract management, 55 percent of hospitals outsource some denials management and 68 percent of physician groups with more than 10 practitioners now outsource some combination of collections and claims management.

The expected impact of ICD-10 on the revenue cycle will prompt providers to outsource even more of their revenue cycle functions the article states. Larger health systems are even more bullish on the trend. The survey found 93 percent of larger hospitals (more than 200 beds) anticipate supplementing their existing revenue cycle software with outsourcing services in the first quarter of 2016 as fallout from ICD-10 likely affects cash flow and more value-based reimbursement opportunities are presented.

Outsourcing RCM: Onshore and Offshore Medical Coding and Billing

This trend is nothing new to GeBBS Healthcare Solutions. We have always promoted outsourcing as a means to cut through the complexity of revenue cycle management with proven expertise, operational excellence, and a sophisticated approach to business processes. Outsourcing providers have experienced, ready-to-deploy remote medical coding, denial management, and medical billing resources available immediately to ameliorate the effects of ICD-10.

Tags: Business Process Outsourcing (BPO), Revenue Cycle Management (RCM), Healthcare Revenue Billing, Medical Coding, Knowledge Process Outsourcing (KPO), Offshore Medical Billing, Offshore Medical Coding, Outsource Coding, Offshore Revenue Cycle Management, Healthcare BPO Companies, Medical Coding Outsourcing, Remote Medical Coding

Top 10 Reasons Why You Should Outsource Your Revenue Cycle Activities

Posted on Thu, Mar 19, 2015 @ 12:12 PM

In today’s healthcare environment of shrinking reimbursements, due to governmental mandates and Medicare policy changes, the importance of maintaining a healthy revenue cycle is second only to providing the best patient care possible. Without an adequate margin there can be no medical mission.

One way to ensure your revenue cycle remains as healthy as possible is to enlist the help of a healthcare BPO company to assist with -- or handle completely -- your revenue cyclegebbs outsourcing medical billing activities. These organizations are expert at keeping your revenue cycle fine-tuned and optimized to its maximum performance level, much like a highly-trained
mechanic can do for your automobile. There are literally dozens of advantages that third party revenue cycle companies can provide, such as onshore and offshore medical coding and offshore medical billing. Here, in my opinion, are the top 10 reasons why healthcare financial professionals should consider outsourcing.

  1. You will see an increase in your reimbursements and collections.

  2. Your labor costs for revenue cycle maintenance will be reduced.

  3. Requires no capital investment.

  4. You get immediate access to highly-skilled and expert personnel that will mitigate risks from frequently changing governmental regulations.

  5. Staff members will be freed up to work on other critical financial issues.

  6. You will receive daily, detailed financial reports upon which you can take immediate action.

  7. Your revenue cycle will be easier to track and manage.

  8. It’s an uncomplicated solution that works from day 1 of implementation.

  9. No additional staff, training or office spaces are required.

  10. You get immediate peace of mind that you are doing everything you can to maximize your revenue cycle.

Tags: Business Process Outsourcing (BPO), Revenue Cycle Management (RCM), Medical Coding, Affordable Care Act, Insurance Billing Solutions, Offshore Medical Billing, Offshore Medical Coding, Medical Billing BPO, Offshore Revenue Cycle Management, Remote Medical Coding, Medical Coding BPO

Preparation is STILL the key for ICD-10

Posted on Thu, Apr 10, 2014 @ 05:43 AM

Preparation 340 48886804There is an upside to this second delay for ICD-10; we should use this time wisely! There will now be NO excuse for not being prepared in October 2015. This additional window of time presents an opportunity for U.S. healthcare providers to spend this period preparing for the significant impact that ICD-10 will bring. Many healthcare facilities were dreading the October 2014 implementation date; however, there is now time to prepare for the monumental changes this sweeping reform will precipitate.

Hopefully you had begun -- and were well into your ICD-10 transition efforts. Don’t slow them down; don’t stop them. Make plans to redouble your efforts now!

This is a first in a series blogs that we believe presents an excellent strategic approach for achieving every healthcare provider’s end-goal during the transition to ICD-10 -- ensuring there is NO reduction or stoppage of their revenue stream. Our mission is to see a stronger U.S. healthcare delivery system come out of this momentous transition.

Conduct knowledge gap assessments

This blog deals with how to develop and execute a strategic plan of action, and the first step in that plan is to assess the knowledge gaps in your clinical, administrative and coding staffs. What you don’t know can hurt you during this transition. The specific impacts of ICD-10 are hard to identify, but it is anticipated that due to multiple technical and clinical system interdependencies these impact will be very involved and serious.

The new code set is designed to provide benefits to patients, payers and providers, such as enhanced tracking and trending of diseases, innovations in payment design and contracting, improved care coordination, more effective case management and improved utilization management. These benefits come at the price of an increase in the number and specificity of diagnosis codes. The added complexity is evident in the increased specificity in coding injuries, additional codes for laterality and emphasis on affected body systems. Coders who are light on anatomy and physiology knowledge will have an increased learning curve adapting to ICD-10.

Organizations should perform a knowledge gap assessment as soon as possible and establish a training timeline to address how their staff members will handle the impact of the greatly expanded number of diagnosis codes in ICD-10. An effective “hands-on” staff training program should be started immediately.

Multiple programs will be affected by ICD-10

Almost every ongoing healthcare project will be affected by ICD-10. ARRA HITECH’s Stage 2 Meaningful Use requirements will be affected by ICD-10’s new data and specificity requirements. CMS will no doubt push healthcare providers to use ICD-10’s new codes in their efforts to prepare for future value-based reimbursement and accountable care programs.

Additionally, Clinical Documentation Improvement (CDI) initiatives will be affected. The best way for providers to assess the impact ICD-10 will have on this program is by analyzing their present CDI program. The key is adequate and relevant documentation. Documentation improvement initiatives can be conducted in conjunction with coder education in ICD-10-CM preparation. Documentation improvement will be the driver in successful integration of ICD-10-CM and will be less challenging with greater preparation. (We will have a specific blog later on the importance of CDI)

Estimate the potential for loss of coding productivity

Coding productivity losses are estimated at anywhere from ten to 70 percent as suggested by industry pundits. Your organization should start a coding health assessment by selecting an experienced coder, preferably with medium to strong clinical knowledge to code randomly selected cases with both ICD-9 and ICD-10 systems. Run the test for a period of approximately 30 days to gather data across a representative service and case mix. Measure the initial production patterns at the beginning stages of the pilot period and at the end. Identify the learning period, and as the coder reaches stable and familiar state see what he or she can optimally produce. Use these results to plan contingencies for interim coding support and long-term staffing changes.

Conclusion

There are three key preparation issues that if addressed properly, can help providers cope with the challenges of ICD-10:  knowing their practice service patterns, assessing their staff’s knowledge, and determining training needs. Being keenly aware of their practice operations, will allow providers to determine the top 80 percent of the ICD-9 codes they presently use, from this information they can devise cross-walks which will significantly reduce the ICD-10 conversion hassle. Providers should analyze their most frequently denied ICD-9 codes. Understanding these frequently denied -9 codes, will create a reference point from which to monitor similar codes in the new ICD-10 code set. Assessing staff knowledge -- coders, billing editors, denial resolution teams – will allow providers to benchmark the training needs for these critical positions. Remember, we now have more time, but we should use it wisely! Stay the course; all will be well in the end.

Stay tuned -- next up – Dual Coding!

Tags: ICD-10, Revenue Cycle Management (RCM), Medical Coding

ICD-10 Rollout Forecast is "Rocky"

Posted on Wed, Mar 26, 2014 @ 08:05 AM

In a recent Modern Healthcare article, long-time IT editor, Joseph Conn, predicted a “rocky”ICD-10 is a rocky road ICD-10 roll-out according to a survey conducted by the magazine. Even though the majority of respondents were optimistic, chaos is the predicted descriptor of the Oct. 1 deadline for nationwide conversion to the ICD-10 codes, according to the survey.

CMS Administrator Marilyn Tavenner said recently in no uncertain terms that the agency will not budge on the Oct. 1 start date for ICD-10.

Meanwhile, this week, the CMS has authorized contractors processing Medicare claims to perform one-way testing with select providers submitting ICD-10 coded claims. The CMS also committed to conducting more robust “end-to-end” testing later this summer.

CMS testing is absolutely necessary for both providers as well as third parties, such as claims clearinghouses, to know whether the nation's largest healthcare payers and providers are prepared for ICD-10.  For providers, however, investing now in physician and coder training on documentation with the more complex and granular ICD-10 codes is a key mitigation strategy.

Another provider mitigation strategy is to improve external and internal organizational communication between health information technology systems vendors, internal IT departments, health information management staff and physicians.

Everyone involved in the new coding process must be on board with preparation for their transition, including vendors and IT professionals. It is critical that the HIM department has a firm, dual-coding strategy in place. They need to let the physicians know what is working and what is lacking in their documentation for ICD-10 through formal clinical documentation improvement (CDI) processes.

ICD-10 is a change of momentous magnitude – everything possible must be done to mitigate its possible devastating effects.

Join in – your comments, please; stay tuned!

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Tags: ICD-10, Medical Coding, Revenue Cycle Management (RCM)

Our Forward Thinking Series On Preparing For The ICD-10 Transition

Posted on Tue, Mar 11, 2014 @ 10:08 AM

Forward thinkingMost healthcare providers we talk to are worried (or at least concerned) about severe reductions, or even the complete stoppage, of their revenue streams caused by potential ICD-10 coding errors and slowdowns in their coding workflows – and rightly so! The transition to ICD-10 has the potential to produce a tremendous backlog of insurance claims.

The proper coding of medical documentation lies at the very heart of every healthcare provider’s revenue cycle. Accuracy of this coding is paramount. The efficiency of it is essential, and its timeliness is critical. Failure, even on the smallest scale, in any of these areas will significantly impact your bottom line.

The obvious end-goal for every healthcare provider -- during this transition -- should be to ensure there is NO reduction or stoppage of their revenue stream. The challenge is how to achieve that goal.

In a series of upcoming blogs, we are going to share with you some best practices for achieving this goal. If you already have these strategies in place, congratulations! If you do not, please feel free to adopt any or all of the strategies that we will discuss over the next few weeks. Our goal is to see a strong U.S. healthcare delivery system come out of this momentous transition -- unscathed.

Our upcoming blogs will address:

  • How to develop and execute a strategic plan of action
  • The specific strategies that need to be executed
  • Staff education and training activities
  • The importance of CDI and how to accomplish it
  • Dual coding and why it’s important
  • Adding outsourced coding expertise to get you through the transition
  • Using some form of ICD-10 computer-assisted coding (CAC) technology
  • Employing outside auditing assistance to ensure/validate you are READY

Feel free to join in our conversation with your comments any time you want.

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Tags: ICD-10, Clinical Documentation Improvement (CDI), Medical Coding

Avoid a Shutdown of Your Revenue Cycle during the Transition to ICD-10

Posted on Tue, Dec 10, 2013 @ 09:40 AM

Early test results reported in Becker’s Hospital Review from data gathered by HIMSS and WEDI indicate that only 63% of ICD-10 documentation was accurately coded.   In addition, coders averaged only two medical records per hour, compared with four per hour under ICD-9, which equates to a 50 percent drop in productivity.

The results came from the ICD-10 national pilot program, which started in April 2012 and ended in August 2013. The Healthcare Information and Management Systems Society (HIMSS) and Workgroup for Electronic Data Interchange (WEDI) released a report on the program, and the groups said ICD-10 coding accuracy varied wildly depending on what was being coded.

CMS officials are saying that good preparation and planning can keep providers’ accounts receivable from shutting down completely during the transition to ICD-10. The agency knows there are going to be claim denials, but they also contend there are ways to avoid many of them.

Your plan should include a gap assessment and analyses.  A gap assessment will help you gain an understanding of where and how ICD-10 will impact your organization. The assessment should include your people and their present expertise, your business processes and your legacy technologies to determine the impact of ICD-10, enterprise-wide. Any aspect of your organization that will be impacted by the transition to ICD-10 should be carefully examined, including the programs and systems you are presently using for claims processing, analytics fraud detection, enrollment, eligibility and benefits. This gap assessment will let you know where you need to make proactive critical process changes before the deadline falls and your revenue is impacted.

Include CMS policies in your plan. To deal with this critical change management, select a key person within your organization to be in charge of your ICD-10 transition project. This person’s responsibility will be to monitor all changes that will inevitably occur before and after the October 2014 deadline. This individual should obtain as much information as possible from CMS before the conversion begins. CMS is currently rewriting its coverage determination policies and will be assisting local carriers. Medicare policies are also expected to be completed before the go-live date. If you have a heavy Medicare population, get this information as soon as it becomes available and work through the new policies. Expect the worst and prepare your staff to meet this challenge.

Education on ICD-10 is going to be critical. Specialty associations, such as AHIMA, AMA, MGMA, HIMSS and several billing associations will be offering training programs and information. Take advantage of these opportunities. Every organization is going to need some kind of training. The learning curve is going to be tremendous. Targeted, online educational programs that your staff members can access any place they have Internet availability will impact their daily productivity the least. Industry webinars sponsored by various associations will focus on specific aspects of the ICD-10 transition. Monitor the topics of these webinars and ensure your staff members attend the appropriate ones.

Put new processes in place to help you deal with the transition. Don’t try to do everything on your own. Enlist technology to help you mitigate your financial risks. Technology is available today in the form of computer-assisted coding (CAC) tools.  CAC is a proven technology that automatically derives and assigns medical codes from within clinical documentation. Many are presently ICD-10-ready.

With this kind of technology, your organizations can “hit the ground running” and streamline your revenue cycle processes, while becoming increasingly more compliant with the requirements of payer and quality reporting. These systems do not replace your professional coders; they just aid them and ensure improved: accuracy, compliance, productivity and consistency, while your facility is “getting up to speed” on the new ICD-10 codes.

Examine your in-house capabilities; if there isn’t enough staff bandwidth to deal with the transition, enlist help. Some of the CAC technology vendors even offer on-site coding expertise to ensure there is no lag in your coding workload. These technology solutions can work with your electronic health record (EHR) and financial systems to produce extremely accurate coding.

Several sources, including CMS are suggesting that you have a financial contingency plan in place. The HIMSS ICD-10 PlayBook, a blueprint for provider and payers’ ICD-10 implementation, recommends that providers should have a minimum of six months of cash reserves to mitigate revenue impacts during the ICD-10 transition period.

Even CMS has stated you can count on delays in your reimbursements, so having access to cash reserves may not be a bad idea. How much emergency cash should your organization have in reserve to manage the ICD-10 disruptions to payments during the transition?  Since your expenses and cash outlays will remain the same, and may even increase during the transition, some industry experts are suggesting you have some amount of cash reserves, or at least, access to cash through loans or lines of credit to avoid potential problems.

Test you claims submissions and communicate with your payers. Identifying your most-used and high- risk claims, and testing their coding accuracy will enable you to make critical financial analyses to your revenue stream before you ever begin working with ICD-10. This information will allow you to proactively make needed changes within your organization to help ensure your financial well-being and stability during the transition.

Communicate with your healthcare payers and clearinghouses.  Do not wait until you submit your first ICD-10 coded claim to communicate with your payers. Early communication will help you test the ICD-10 claims process and gain insight into how reimbursements will be affected after Oct. 1, 2014. There will be a hefty price tag for procrastination.

You can avoid a shutdown of your revenue cycle with early planning and preparation. If you have done everything you can to be prepared for the 2014 deadline, the chances are very good the transition will have a minimal impact on your organization and its revenue stream. 

Tags: Medical Coding, ICD-10, Revenue Cycle Management (RCM)