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Top 5 challenges of ICD-10

October 10, 2011 | Jamie Thompson, Web Editor

Related Resources

  • A Guide to HIPAA Security Standards
  • Creating the Foundation for Financial Health in 21st Century Healthcare Provision
  • An Approach to the ICD-10 Transition
  • Maximizing Healthcare Payment Automation
  • Advanced Coding Technology to Advance the Revenue Cycle

DENVER, CO – Five top challenges of ICD-10 have been outlined by PatientKeeper, a data management system for physicians, at their User Group Conference for financial applications in Denver, Colo.

The conference, held from September 18-20, comprised 15 sessions featuring presentations by PatientKeeper customers and product experts, as well as discussions focusing on technologies for and trends in revenue cycle management.

During the conference, PatientKeeper held a user survey to identify the top challenges of ICD-10. Here are the results:

1. Resourcing the transition

The ICD-10 transition will require significant investment of time and money to ensure that all systems that use and record diagnosis data are updated to comply. It will be a complex and painstaking process, and many are worried about the costs involved.

2. Training

The amount of time trainees can devote to learning the ins and outs of ICD-10 is a concern, as well as the expertise of the trainers. One of the more daunting issues is the depth of training needed to make sure all stakeholders understand how ICD-10 works and how to accurately submit claims to payers.

3. Maintaining two coding systems

Private payers, such as worker’s compensation plans, are not required to change to ICD-10. Therefore, providers could have to maintain both coding systems, depending on payers’ strategies.

[See also: After ICD-10, will coders ever regain ICD-9 efficiency levels?.]

4. Sustaining momentum

Most physician incentive programs use reporting based on CPT and ICD-9 codes. To continue correct submission, systems collecting data for incentive programs need to support ICD-10. Updating systems and ensuring that long-term reporting continues smoothly during the transition will be a concern.

5. Avoiding payment delays
 
Training physicians to code accurately, making sure that codes are entered correctly in billing systems and depending on payers to efficiently review claims under ICD-10 are all likely to lead to delays in payment.

Related Topics:
  • Colorado
  • Denver
  • ICD-10
  • Jamie Thompson
  • User Group

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