Brad Williams, Chief Executive Officer of RevClaims, a service provider at the marcus evans National Healthcare CFO Summit Fall 2015, on what hospitals need to know about ICD-10 when it comes to injury claims. Interview with: Brad Williams, Chief Executive Officer, RevClaims

1. Interview with: Brad Williams, Chief
Executive Officer, RevClaims
“Hospitals who do not have attorneys or
skilled insurance adjusters on staff
working injury claims should really ask
themselves if it makes sense to try
tackle this specialized area internally
when it only represents about 3 percent
of their total accounts. If they do not
have that skill set already in place,
outsourcing is their best option”,
advises Brad Williams, Chief Executive
Officer, RevClaims.
RevClaims is a service provider at the
marcus evans National Healthcare
CFO Summit Fall 2015 taking place in
Las Vegas, Nevada, October 18-20.
How do you identify promising
claims early on?
We have a three step method. First, we
train admission staff at various locations
through hospitals how to ask patients if
their visit is related to an accident or
injury as well as the correct follow-up
questions. Second, we use relevant
diagnosis codes that identify the cause
of the injury, thus we filter by those
codes to find claims. Third, we look to
see if records are being requested by a
law firm. If there is an attorney
involved there is usually some sort of
litigation occurring related to an
accident or injury.
How can hospitals increase injury
claims recoveries?
The key is getting good accurate
information as early as possible. Injury
claims experts have to know what
happened and how the accident
occurred. They need to know what
coverages are available and which are
not, so they can ask the right questions
to find as many coverages as possible.
They also need to make sure that they
are billing in the right order which
involves following federal law and state
regulations.
What do hospitals need to know
about ICD-10?
The primary thing they need to know,
as it related to accident and injury
claims, is that they are non-covered
entities, so they are not required to use
ICD-10 at this time. They can still
require healthcare providers to submit
claims in ICD-9 which creates a little bit
of a hurdle because hospitals are
gearing up to convert to ICD-10 across
the board, so providers are going to
have to down code claims with carriers
who are not ready to accept ICD-10.
This leads to a bifurcated coding
system. Most hospitals have some way
to handle the bifurcated coding system,
but if not prepared for it, they can have
a substantial number of ICD-10 coded
accident claims that are denied because
the carrier is not accepting ICD-10 yet.
Do you have any recommendations
for hospitals that are not equipped
for ICD-10?
If the hospital is not equipped for ICD-
10, they need to outsource coding
immediately. I do not know any that
are not ready for ICD-10, but not all are
ready to bifurcate their coding.
Nonetheless, hospitals have coders that
are very familiar with ICD-9 since they
have been using it for years. They just
need to put in place a system that can
identify these accident claims and have
their coders dual code in ICD-9 or at
least convert ICD-10 claims to ICD-9
when denied, which is an easy task, but
some system needs to be in place to do
that.
It would also be helpful if they talk to all
the major carriers they are dealing with
to see which are accepting ICD-10 and
which are not, so that they can mark
those in their system, and know
beforehand to avoid denial in the first
place.
The key
is getting
good
accurate
information
as early
as possible
How Hospitals Can Tackle
Injury Claims Recoveries
and ICD-10

2. About RevClaims
RevClaims, LLC is a national revenue cycle management firm based in Jackson, Mississippi that focuses exclusively on accident and
injury claims. The unprecedented growth and client retention of RevClaims is a testament to the success of the program.
RevClaims has regional account representatives spanning across the United States. Since 2005, RevClaims has handled more than
500,000 accident and injury claims for health care providers providing industry leading service, expertise, and technology.
www.revclaims.com
About marcus evans Summits
marcus evans Summits are high level business forums for the world’s leading decision-makers to meet, learn and discuss
strategies and solutions. Held at exclusive locations around the world, these events provide attendees with a unique opportunity to
individually tailor their schedules of keynote presentations, case studies, roundtables and one-on-one business meetings.
For more information, please visit: www.marcusevans.com
Upcoming Events
Long-Term Care CXO Summit - www.longtermcaresummit.com
National Healthcare CNO Summit - www.nhcnosummit.com
To view the web version, please click here: www.nhcfosummit.com/BradWilliams
About the National Healthcare CFO Summit Fall 2015
The 22nd National Healthcare CFO Summit is the premium forum bringing senior
level finance executives and solution providers together. Taking place at Red Rock
Resort & Spa, Las Vegas, Nevada, October 18-20, 2015, the Summit includes
presentations on the growing importance of aligning financial and clinical processes,
effectively managing newly insure patients with high deductibles, analyzing the
financial relationship between payers and providers, and overcoming challenges of
revenue cycle management.
www.nhcfosummit.com
Contact
Luzdary Hammad, Press Manager, marcus evans, Summits Division
Tel: + 357 22 849 385
Email: press@marcusevanscy.com
All rights reserved. The above content may be republished or reproduced. Kindly
inform us by sending an email to press@marcusevanscy.com
The Finance Network - marcus
evans Summits group delivers
peer-to-peer information on
strategic matters, professional
t r e n d s a n d b r e a k t h r o u g h
innovations.
Please note that the Summit is a
closed business event and the
number of participants strictly
limited.