What you need to know about ICD-10

Learn how ICD-10 affects your business, clinical and systems so you can change with confidence before the deadline.

Be prepared.

Being prepared can significantly improve how your organization fares during the ICD-10 transition by minimizing the financial and productivity impacts in the first years of implementation. The more quickly you can get ready, the greater your cost savings.

Organizations that will realize the benefits of ICD-10 more quickly are those that plan ahead, use innovative technology and meet the recommended deadlines dictated by CMS. How?

  • Become familiar with the new code sets and provide training to preview the structure and conventions of ICD-10.
  • Educate staff regarding the challenges of translating clinical documentation into appropriate codes, and become familiar with the tools that can help.
  • Assemble a team, develop an impact assessment and priorities, schedule training, and utilize technology, mapping tools and consulting services to gain additional expertise.

 

Unique considerations

ICD-10 codes cannot be inserted into the existing processes and business rules used for ICD-9. As the deadline for ICD-10 implementation approaches, health organizations are under pressure to assess their current capabilities, determine their ICD-10 readiness needs, and close the gap in the way that best protects against operational disruptions. Throughout the course of ICD-10 preparation and implementation, business systems, processes and other components at the heart of the health care organization will need continuing inspection. Many organizations worry they may not be able to prepare for the change in time or fear the cost of upgrading IT systems will not be affordable.

What's driving the change?

The transition to ICD-10 is a business-enabled compliance mandate that will provide better data for measuring health care service quality, safety and the efficacy of care by allowing clinical IT systems to record far more specific and rich diagnostic information. The complete ICD-10 code set contains more than 155,000 codes, compared to only 17,000 in the ICD-9 set.

Because the additional codes can accommodate a host of new diagnoses and procedures, ICD-10 will help enable the implementation of electronic health records by providing more detail for electronic transactions, as well as boost efficiencies by helping to identify specific health conditions.

As a result, ICD-10 can help: 

  • Improve care outcomes
  • Streamline operations
  • Reduce costs