Post ICD-10 Transition – Time to Breathe?

Now that ICD-10 has officially transitioned and implemented, many individuals would actually argue that the real work is just beginning as ICD-10 presents a major business transformation event for all stakeholders.

As our health care industry moves into this new data driven environment, it is crucial for leaders to stay on top of their organization’s quality and financial data and outcomes, especially ICD-10.

!CD-10 Strong
Below are a few key tactics that you can use to monitor your ongoing success with ICD-10 transition:

  • Data Metrics: Review your clinical and financial metrics post ICD-10.  Do they currently reflect your resident population?  Do your billing metrics indicate any significant changes or spikes in trends? Recommend reviewing 3 months prior and also post ICD-10 conversion to determine trends and areas for improvement.
  • Monitor Your Remittance Advices: Analyze the financial impact of ICD-10 based on your new ICD-10 claims. Review the effectiveness of your business and claims processing rules to identify outstanding financial risks.
  • Conduct, Post, Go Live: ICD-10 audits will review your processes to ensure they align with current practice.
  • Assess: Evaluate the need for reeducation or targeted education as identified via auditing and monitoring processes.

CMS Resources: The Centers for Medicare & Medicaid Services (CMS) has been carefully monitoring the ICD-10 transition and is pleased to report that claims are processing normally. You can find information about the first month of Medicare Fee-For-Service claims processing in this CMS Fact Sheet. Keep Up to Date on ICD-10 Visit the CMS ICD-10 website and for the latest news and official resources, including the ICD-10 Quick Start Guide and a contact list for provider Medicare and Medicaid questions.

Other Resources: