Updated on: September 23, 2013

A Day in the Life of ICD-10: How ICD-10 Impacts Hospital and Health System Professionals Facility-wide

By
Original story posted on: October 27, 2011

 

 

By: T. Ormondroyd and A. Majerowicz

 

The transition from ICD-9 to ICD-10 in October 2013 goes hand-in-hand with the goal of healthcare reform to improve quality and decrease the cost of care. As our nation moves closer to a model that rewards quality care, we need a coding system that can better measure that quality. ICD-9 will no longer be sufficient to adequately measure the quality of care, nor does it accurately reflect current technology, which is where ICD-10 comes in.

With more than 171,000 codes as compared to just 17,849 in ICD-9, ICD-10 will provide our healthcare system with a much more accurate method of quantifying the level of care. Other benefits of ICD-10 include reduced need for documentation at reimbursement; improved payment system design and research data for clinical trials and epidemiological studies; less cumbersome healthcare delivery systems; major benefits related to the EMR and the collection/storage of data; and the prevention of fraud and abuse. But before we can reap the benefits of this new coding system, we need to realize the far-reaching impact it will have on healthcare organizations and recognize that without proper preparation in the form of education and training, it can cause devastating consequences before any benefits can ever be realized.

There are significant costs and negative impacts that are estimated to go along with the ICD-10 transition. It is estimated that there will be a 10% to 50% decrease in coder productivity and a fourfold increase in existing DNFB and Accounts Receivable days for up to nine months post-implementation; possible backlogs in the revenue cycle of 64 days to six months; up to a 25 percent increase in re-works from claim rejections, adjustments and inquiries; and $50 million to $250 million in productivity losses among physicians.

Learn how to recognize the far-reaching impact of ICD-10 in your facility, identify the ICD-10 learning needs of the various departments, how to avoid increased denial rates, how to avoid an increase in Discharged Not Final Billed (DNFB) and how to avoid a decrease in productivity.

To Download the Article

Go to www.icd10monitor.com and click on the leader board ad to register to download the paper.

About the Authors

Tom Ormondroyd, BS, MBA, is the Vice President of Consulting and Educational Services for Precyse and oversees several business lines including Audit Services, Clinical Documentation Improvement Services, Precyse University, and all ICD-10 Consulting and Education.

Anita Majerowicz, MS, RHIA, is the Director of ICD-10 and Educational Services for Precyse and has more than 25 years experience in the HIM field. She most recently was Director of Clinical Coding and Reimbursement at AHIMA.

Contact the Authors

To comment on this article please go to