Physicians: Get ICD-10 Prepared

The ICD-10 implementation will be the most far-reaching change in U.S. health care to date. Physicians who are late complying with the regulation’s deadline might face payment delays and claim denials.

Business Issues

Physicians face multiple challenges including:

Existing practice management billing system software may need to be replaced or updated to accommodate 5010 electronic transactions standards
Clinical and administrative staff will need training on new code sets and changes to technology
Current practice work flow will need to be modified to accommodate new information technology
Vendor, clearinghouse, and health plan contracts and data requirements will need to be reviewed and amended, or replaced
Superbills and corresponding mapping strategies will need to be updated
The quality and accuracy of clinical documentation practices must be improved to maintain compliant claims
Billing forms must be revised or replaced

Partner with Optum

Questions to ask

Why should you consider OptumInsight as an ICD-10 partner?

To make a seamless and efficient transition to ICD-10, organizations need to start preparing now.

OptumInsight can help you use the transition to ICD-10 to your greatest advantage. We are able to provide a comprehensive solution suite for physicians by offering consulting services, technology, and data to help you begin identifying impacts and developing plans for an efficient, effective, and compliant conversion.

We understand every facet of the health care system. Because we provide services to payers, hospitals, physicians, government agencies, and other health care stakeholders, we bring a strategic perspective unmatched by other information technology providers. Our solutions are informed by 25 years of experience in coding, payment, and reimbursement methodologies. OptumInsight technology solutions will be ICD-10 and 5010 compatible in advance of deadlines to enable clients to implement, test, and optimize needed upgrades.

Critical questions every executive should be asking:

Do I trust that vendors of my critical IT systems will be ready by the ICD-10 deadline?
Does the switchover to ICD-10 provide the cover we need to upgrade our older systems?
Which aspects of the ICD-10 transition should I outsource?
How do I budget for the added capital and personnel investments required?
Do I need to make changes in my health plan contracts or coverage determinations?
What do I need to do to improve the accuracy and quality of my clinical documentation?
How will this affect my payment schedules and practice revenue?
How soon should I start implementation?
Will I be able to translate historical data and will I still be able to use that data with ICD-10?
Will this affect quality reporting?