Uprise EHR & PM Blog



3 Reasons Not to be Spooked by ICD-10 | Claims Management

Posted by Sharon Chin on Oct 4, 2014 10:30:00 AM

Did you know that the current set of ICD-9 codes is 30 years old? It’s obviously time for a change and this change is made mandatory for any HIPAA-covered practice. In fact, you might already know or be prepared for this change in claims management. The old ICD-10 deadline was October 2014 but recently moved to October 1, 2015. This means that claims that do not use ICD-10 codes cannot be processed past October 1, 2015. But it also means that you and your staff will have more time to train and learn so you can be more prepared to be compliant. So there’s no reason to be spooked by the change. In fact, there are many things you can look forward to! CMS official resource for the transition, Road to ICD-10, provides the following benefits your practice will experience when using the new ICD-10 codes.  

Why You Should Look forward to ICD-10 Claims Management

You’ll be Providing Better Care 

ICD-10_Claims_ManagementAs we said, ICD-9 is 30 years old, so it’s outdated and inconsistent with current medical practices. The new set of codes is a lot more specific and helps you make more accurate clinical decisions as data are better documented, collected and evaluated. You are able to improve tracking of illnesses and severity over time, and get new insights into patients and clinical care. With more accuracy, you’re providing better patient care and your patients will thank you for that!

Your Practice Will Do Better Financially

You should be properly reimbursed for the care you’ve provided. After all, it’s not just a practice; it’s also your business. With better documentation of patient complexity and level of care, you also get better supporting reimbursement. A common concern for those participating in Meaningful Use is getting audited. The new codes allow a greater degree of specificity for clinical documentation, which may reduce audit risk exposure.

You Have an Abundant Library of Resources

Need a little help? Don’t worry! There are a bunch of resources you can find from the CMS official site as well as our blog! Here are a few resources to help you get started:

We highly encourage you to do your research, but on top of that’ it’s also important to make sure that your practice management and EHR system will be able to support ICD-10 when October 1, 2015 comes, but also continue to provide you with ICD-9 code before that!

Looking for a system that can help you with ICD-10 coding? Check out Uprise! It’s a cloud-based practice management and EHR system that helps you navigate complex insurance and Medicare rules. You get access to zip code specific CPT Rules, as well as covered CPT-ICD 9 and soon ICD 10 combinations, in real time.

Check Out Uprise

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