ICD-10 Survival Guide, how move from ICD-9 to ICD-10
Posted On March 22, 2014
Work on ICD-10 began in 1983 and was completed in 1992. The U.S. is now mandating everyone in healthcare moves over October 1, 2014, 22 years later.
ICD-10 has been pushed back over and over again within the U.S. The U.S. is behind in moving to ICD-10 as ~25 countries have moved over for reimbursement and resource allocation. The U.S. government is pushing everyone in healthcare to ICD-10 compliance by October 1, 2014. 3 trillion dollars are impacted by ICD-10 moving over from ICD-9. Of the GDP, healthcare is 20% of the US economy, so the move will effect everyone, even patients.
It somewhat sounds like what happened in the year 2000, when everyone was investing millions of dollars and after all was said and done everything was OK. This might be the Y2K of healthcare, there will be no phase in, there is a hard switching date.
The AMA also has great document on explaining the differences between ICD-9 and ICD-10.
ICD-10 requires much greater detail on ailments, cause, type, complications, compared with ICD-9. For example, diabetes will have many separate codes that each incorporate different complications. And asthma is listed as “mild,” “mild intermittent,” “mild persistent,” “moderate persistent,” or “severe.”
Another interesting thing that might come out of this all is RAC audits, will RAC audits increase? Only time will tell.
Average cost $13,000 per physician to upgrade to ICD-10 codes, we are upgrading all of our users free and paying at no additional cost.
It is critical for our team, other software vendor, clearinghouses, and health plans to all be on the same page getting everyone ready for ICD-10. The goal of our team is to make the trasition as easy as possible, we will be rolling out an alternate view so users of drchrono can switch between what everyone already knows within drchrono and what is to come, so physicians can use ICD-10 codes.