ICD-10: Ignorance is Not Bliss – Part 2

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The ICD-10 compliance date of October 1, 2014 draws nearer every day. While many individuals in healthcare believe this initiative to impact only coders and billing staff, that misconception will certainly prove detrimental on many levels. All involved in the patient care experience will be impacted, even the patient (as introduced in ICD-10: Ignorance is Not Bliss – Part 1.) In Part 2 of this 4 part series, we will continue to follow our patient through her post-ICD-10 experience. When we last left off, Doris Jones was waiting for an exorbitant amount of time in the clinic waiting room to see her doctor. After an hour, she is finally checked in and called back by the Medical Assistant.

Scenario: Please Visit Ignorance is Not Bliss – Part 1 for Mrs. Jones’ situation.

Now let’s see just how this change really can affect everyone…

Continue reading: ICD-10: Ignorance is Not Bliss – Part 2

ICD-10: Ignorance is Not Bliss – Part 1

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By now, most individuals working in Healthcare have heard of ICD-10. The varying degrees of familiarity with the new diagnostic and procedure code set are as varied as the individual reactions to its upcoming required implementation. Some individuals shudder in fear as the diagnosis codes leap from ~13,000 codes in ICD-9 to ~60,000 in ICD-10 (not to mention the ~76,000 procedure codes that will now be required for use in the Inpatient environment.) Some individuals (certainly most coders and billers) can not sleep at night knowing the learning curve, productivity slowdown, and likely revenue loss that this initiative will certainly yield. Perhaps most disturbing, however, is that many individuals (including providers) believe that ICD-10 will not have an impact on their staff, their work, their finances, or the patient experience.

That, unfortunately, is a scary and fallacious understanding of what is ahead. ICD-10 will impact everyone. To make the point, I offer an example of a basic patient office visit.

Continue reading: ICD-10: Ignorance is Not Bliss – Part 1

ICD-10 Training Timeline: Are You Already Behind the Curve?

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ICD-10 looms over Healthcare in America ominously. Many studies project that a tremendous number of ambulatory medical practices will have very significant cash flow shortfalls . Many of them actually may declare bankruptcy, because of the draconian changes in the required billing processes on October 1st, 2014.  A number of sources of information, including the Federal government at CMS, as seen at http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10SmallMediumChecklistTimeline.pd encourage immediate action!

Don’t get caught short.  Arm yourself with the  knowledge that will prove vital to your practice.  Just as it took a year to learn anatomy, it will take your office a year to undertake the painful migration to using ICD-10 for all of your billing.  To state the obvious, if you are not using ICD-10 for all medical services on or after October 1st, 2014, you will not be paid!

To state the less obvious, this is not an issue only for your billing department.  You, the physician, will need to either:

Continue reading: ICD-10 Training Timeline: Are You Already Behind the Curve?