Revenue Cycles to Keep Pace with the ICD-10 Shift

There are many ways for a patient to get hurt. Nothing outlines these causes more precisely than the International Classification of Diseases (ICD).

Doctors and other medical personnel use the ICD mainly for filing covered claims. Its long list of billing codes cover as many injury-inducing scenarios as possible, such as head wounds (S01, ICD-10) and fractured patella (S82.0, ICD-10), to name just two. This specificity aims to make claims management much easier for everyone involved.

However, the downside is already taking its toll on revenue cycles. Even for a physician, there are simply too many codes to keep track, especially now that the 10th edition (ICD-10) is about to roll out later this year. ICD-10 will feature a total of 68,000 codes, more than five times the number of codes in ICD-9.

The increase in the number of codes strives to increase awareness of hardly-known injuries such as those experienced by orca (W56.21, ICD-10) and parrots (W61.01, ICD-10). It may sound ridiculous at first, but injuries are no laughing matter, especially when infection sets in. The medical profession cannot afford not to treat these kinds of injuries.

In light of these changes, revenue cycles must adapt. Ask yourself this: “Can ICD-9 capturing techniques work in ICD-10? If not, how can you make the updated system work?” Experts expect current revenue cycles to undergo a major makeover when ICD-10 becomes the standard requirement in medical transactions.


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