Being prepared can significantly improve how your organization fares during this transition by minimizing the financial and productivity impacts in the first years of implementation. What questions should you be asking? What actions can you take today to meet the deadline? How can OptumInsight help you make the most of this mandate?
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The switch will affect every aspect of their organization as diagnosis and procedure codes are used to determine reimbursement, eligibility, and more. To implement ICD-10, health plans must use compliant information systems that can accommodate the significant number of structural changes within the ICD-10 code set.
ICD-10 presents an opportunity to provide more specific and rich diagnostic information. However, physicians who are late complying with the regulation’s deadline might face payment delays and claim denials.
The transition to ICD-10 will affect the staff, revenue cycle processes, and technology infrastructure of a hospital. Begin identifying impacts and developing plans for an efficient, effective, and compliant conversion today.
The amount of detail included in ICD-10 will give states the opportunity to better understand and improve health care utilization, cost efficiencies, care management opportunities, and quality of care.