All roads lead to ICD-10 – an initiative critical to our success
In the United States, we currently use ICD-9 (International Classification of Diseases,
ninth revision) to code our patient records and claims sent to payers. The federal
government has mandated that by October 1, 2015, every medical provider must be
using ICD-10 codes; the 2015 date is a new extension to the previous deadline. Franciscan/CHI
will continue its ICD-10 program implementation activities at the current pace,
using the one-year extension to review and enhance the highest risk components of
Why replace ICD-9 codes? It is more than 30 years old and out of date:
- The coding classifications no longer adequately reflect current medical practice. For example, there are many ICD-9 codes for tuberculosis, but not one for West Nile Virus or SARS.
- The system has reached its capacity, which makes it difficult to incorporate new technology or new codes.
- ICD-9 does not have the detailed data needed for improving the quality of care.
ICD-10’s greater specificity will help us better understand and prevent disease and injury, but at the same time, it is a huge undertaking to discontinue thousands of codes and implement many more. ICD codes are a part of nearly every step in the patient process, from the time a service or procedure is scheduled to the time reimbursement is received.
Compliance with the federal mandate is not optional. We must successfully transition to ICD-10 by October 1 or claims for payment will be denied or delayed, severely impacting Franciscan revenue. Catholic Health Initiatives has partnered with an ICD-10 expert – Precyse Solutions – to provide training for those directly impacted by the change in codes, including our physicians. Conifer employees also will receive Precyse Solutions ICD-10 training. Because of the broad implications of ICD-10, however, every employee is being encouraged to understand this critical initiative.
For additional information on ICD-10, see below:
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