ICD-10: Who Needs To Be Educated?

Posted by steelersmb
August 14, 2013
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Excerpt taken from McKesson White Paper
A McKesson perspective: Preparing for ICD-10-CM/PCS

Whether you are a provider of care or a payer that reimburses for care, you already should be preparing your organization for the ICD-10 conversion. You need to educate almost everyone in your organization including:

  • Coders on the expanded code set, medical terminology and anatomy.
  • Physicians on the specificity required for clinical documentation to support ICD-10 coding. Some adjustment to documentation practices and templates will be required.
  • Physician office managers so they can assess the impact to the office workflow, optimize practice coding and evaluate the impact to the Super Bill.
  • Staff members that assign diagnosis or procedure codes whether at admitting, order entry or discharge.
  • Financial planning and administrative staff to assist in financial impact assessments and in revising performance management and decision support analytics.
  • Clinical quality and process improvement teams to incorporate new codes in reporting and to take advantage of increased clinical data for enterprise intelligence.
  • Payers on the impact to contracts, eligibility, medical policy, claims, code auditing and reimbursement systems.

ICD-10 codes are the foundation for reimbursement and much of your business analytics, while EDI is the transport tool for your claims. Not being ready for the compliance dates will dramatically affect your business. CMS will expect encounters with dates of service or dates of discharge/through dates of October 1, 2014 to be billed with ICD-10 codes. CMS has been clear that they will be ready. MediPro wants you to be ready too.

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