On October 1, 2015, ICD-10 launched nationwide, with the intentions of improving quality reporting and making reimbursement processes more efficient. The healthcare industry made hefty preparations to prevent denials and a decrease in productivity. Since the United States was late in adopting ICD-10, the U.S. healthcare industry had time to review and understand the obstacles and mistakes that other countries experienced when adopting ICD-10. With careful preparation and a strategic game plan, the transition to ICD-10 was overall successful.
With statistics on other countries’ ICD-10 transition known, the U.S. saw only a slight decrease in coder productivity, with a decrease of only 25% of charts coded per hour. With ICD-9, coders completed and average of 24 charts per day, while with ICD-10, coders completed an average of 18 charts per day. The Centers for Disease Control and Prevention and the CMS recently added 1,900 diagnostic codes for 2017, meaning that providers must continually prepare and train, even after a year of ICD-10 implementation.
Payer denials saw minimal change, as providers saw the same types of issues from ICD-9 in ICD-10. Because ICD-10 had new codes, providers did experience a small increase in requests for additional information from payers. After a year of ICD-10, payers will soon have enough information to understand trends and will modify processes.
Overall, ICD-10 preparation is still an ongoing project that providers will continually work on with their staff. After a year of working with ICD-10, there will soon be enough information to assess the trends of denials and providers can soon review and modify processes.
Read the original article from Advance Healthcare Network here.