Is Your Practice ICD-10 Ready? Info from a Medical Billing Services Company

Is Your Practice ICD-10 Ready? Info from a Medical Billing Services Company

Soon, ICD-10 will be available. This new coding index is detailed, revamped, and updated with the most current descriptions, diseases, and injuries. It is vital that your medical facility or practice is ready to implement the new coding system, as using the wrong codes and classifications can lead to fines, penalties, or even lawsuits.

Install the Software

It is best to hire a professional to install new ICD-10 software. While it may seem simple, additional protocols and commands are required to complete a safe installation. This also includes testing the program.

There are instances where ICD-10 has a hiccup or pause during installation and some categorizations can be missed. If the ICD-10 system is not tested before it is really put to use, it can cause the practice to have to pay again for proper installation. When something like this occurs, the practice can end up suffering financially.

Train the Staff

It is crucial that you do not attempt to train the staff yourself unless you receive proper ICD-10 training materials from CMS. Paying a professional to properly train you and your staff is ideal. These professionals have already undergone extensive training to learn the new system and how it works. They can provide hands-on training for your staff, which is priceless.

Create a Compliance Team

Once your staff is fully trained, and can use ICD-10 without much trouble, you should implement a compliance team. This may mean that you have to bring on additional staff if your current personnel cannot handle the additional workload. The compliance team’s duties include verifying and examining all records made using the ICD-10 system.

The instance that a mistake is noticed, it needs to be fixed right away. The compliance team should make the physician or medical facility owner aware of the infraction and schedule retraining with the employee/s responsible for making the mistake.

Tips for ICD-10 Transition

Identify current systems and processes that use ICD-9 codes, such as encounter forms, clinical documentation, electronic medical records, contracts, and quality reporting protocols.

Discuss implementation plans with billing services, clearinghouses, payers, and others so their systems will also be ready.

Talk with the management system vendor about ICD-10 accommodations, and verify upgrades are part of the vendor agreement.

Discuss contracts with payers, and how ICD-10 will impact this.

Budget for costs and time related to ICD-10 implementation, such as system change expenses, software updates, training, and resource materials.

Identify changes to business and workflow processes, such as clinical documentation, public healht reporting quality, and encounter forms.

Budget for time and cost related to ICD-10 implementation, such as expenses for software updates, system changes, resource materials, and staff education.

Final Thoughts

In order for your practice or medical facility to be completely ready for ICD-10,training should be scheduled over a period of time to prevent information overload. As you prepare to implement the newly updated system, make sure that each staff member has a cheat sheet to help them navigate through the program and a head staff member to go to with questions.

MPMR is a top medical billing company that has expert consultants for ICD 10.

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