Final20 project20powerpoint brothersj12_attempt_2013-05-01-21-55-31_hima20506020final20powerpoint


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Final20 project20powerpoint brothersj12_attempt_2013-05-01-21-55-31_hima20506020final20powerpoint

  1. 1. Joseph BrothersHIMA 5060 Final ProjectTRANSITION FROM ICD-9 TO ICD-10
  2. 2. EXECUTIVE SUMMARY• Background information about the coding system and the differencesbetween ICD-9 and ICD-10• Problems that can arise because of a lack of preparation when the transitionoccurs• Solutions to the problems listed• Conclusion and final thoughts of transitional process
  3. 3. BACKGROUND INFO FOR ICD-10• WHO is responsible for developing classifications for disease• ICD-10 has been available since 1993• United States is one of the last developed countries to still use ICD-9• US has been using ICD-9 for 35 years• There is a current deadline for organizations to switch to ICD-10 of October1, 2014• Deadline has been delayed several years in a row
  4. 4. IMPROVEMENTS IN ICD-10 COMPARED TO ICD-9• ICD-10 contains much higher levels of detail and specificity• Over 68,000 codes verse 13,000 codes for ICD-9• Introduction of laterality• Creation of combination diagnosis/symptom codes
  5. 5. IMPACTS ICD-10 CAN MAKE IN HEALTH CARE• Improved efficiencies of hospitals and other organizations• Reduction in costs• Increased quality care for patients• Reduction in fraud and dishonesty• Massive amount of more specific and accurate data• Enhancement of relationships with reimbursement companies
  6. 6. POTENTIAL PROBLEMS ANTICIPATED FROM ALACK OF PREPARATION FOR TRANSITION• Current clinical documentation levels are no where near the level ofspecificity and detail they need to be at in order to smoothly transition to ICD-10• In the beginning, ICD-10 is going to decrease revenues, and increase costsof certain health care providers
  7. 7. POTENTIAL PROBLEMS ANTICIPATED FROM ALACK OF PREPARATION FOR THE TRANSITION• Productivity of professional coders will decrease tremendously in thebeginning of the transition so much so temporary employment will need to behired to satisfy demand levels• Given the high age, 54, of the average professional coder, the industryanticipates a lot of coders to retire when the transition occurs so as not todeal with the complexities
  8. 8. SOLUTIONS TO POTENTIAL TRANSITIONPROBLEMS• Training and educating of clinicians is the most important step.• First must demonstrate to physicians why this is important• CFO of organization must prepare a budget before the transition occurs• Must forecast potential cost increases and revenue decreases• As a result must ensure proper amount of cash will be available• Through securing a loan• Reducing account receivable payments• Train and educate professional coders• Must also include retention and recruitment plans
  9. 9. SOLUTIONS TO POTENTIAL TRANSITIONPROBLEMS• Train and educate professional coders• Must also include retention and recruitment plans• Include competitive packages in case of job poaching
  10. 10. CONCLUSIONS• Why has it taken the United States so long to adopt ICD-10?• The government is allowing a lack of urgency to be prominent throughout because ofconstant delays to the implementation deadline• Benefits of ICD-10 are endless specifically with data capturing