As we all know by now that the ICD-10 coding system has brought in many changes in the way we need to code. For specialists especially, there are changes with respect to coding of laterality and the way modifiers can be employed as compared to the previous ICD-09 coding system. Besides the code changes with ICD-10 coding, the Accountable Care Act, or popularly known as Obamacare Act, has also brought in changes in the way healthcare practitioners and specialists will need to perform if they need to be reimbursed. The short-sightedness of those who did not start adopting and adapting the ICD-10 coding, and those whose long-sighted vision helped bring in the changes at an early stage, will no doubt reflect on the Revenue Cycle Management process (RCM). The way coders will code dependent on the documentation can lead to revenue loss. Nevertheless, a few pain points in the coming year of 2016, especially for those practicing Optometry, may affect medical billing causing a hit to revenues.
However, one saving grace is, Medicare won't deny claims with incorrect ICD-10 codes until October 1, 2016. So conduct an audit of the codes and the rules and regulations, or employ third-party vendors to handle this chaosBack