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The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is a revision of the ICD-9-CM. Public health workers can use the ICD codes to watch for trends in health and track morbidity and mortality. ICD codes are used by insurers to classify conditions and determine reimbursement. ICD-10 has more than 68,000 diagnostic codes as compared to the 13,000 found in ICD-9. The new coding system includes double the categories and calls for more specificity in identifying treatment.
Know how ICD-10 will affect you
Every person and organization that is a part of the US healthcare will be affected by the transition to ICD-10. This herculean change will require immense preparation and effort and anyone who uses medical diagnosis codes and covered by the Health Insurance Portability Accountability Act (HIPAA), will be impacted. Insurance companies like Medicaid and Medicare will be impacted by ICD-10. A considerable rise in the number of codes used for patient diagnosis will call for training for the new codes.
A clearinghouse sorts, formats and organizes claims for payers to process. The coding and administrative staff must be well prepared to adapt to ICD-10. All health IT vendors must upgrade their software. They will need to work in collaboration with their customers and test all updates using new diagnosis codes. ICD-10 is thus going to hit every sphere of healthcare.
Regardless of the benefits of ICD-10, the implementation cost will be huge and so it is important for individual practices to set a budget for the coming months. Early stages of ICD-10 are expected to bring in more denials, the rate increasing by 100 to 200 percent and account receivables are said to grow by 20 to 40 percent.