The software’s coding engine can parse ICD-10 to discover conditions in charts and physician notes.
Executives involved with the code switch said the first year went smoothly. But they are now expecting a new level of difficulty in the next 18-24 months while coders must be more precise for CMS and private insurers to accept and pay claims.
The agency posted answers to pressing questions for coders and hospitals to consider when the year of flexibility end on Oct. 1, 2016.
With trouble finding and hiring staff experienced in ICD-10, MACRA, risk contracting and value-based care, many providers and medical groups are outsourcing those from Cerner and competitors including Allscripts, Kareo, NextGen and others, Black Book said.
The agency chose a one-year delay, but considered three other alternatives before settling on that.
The Centers for Medicare and Medicaid Services said that the grace period will end as planned and come Oct. it will end the flexibilities it granted hospitals and coders thus far.
The workgroup’s research found productivity hiccups in providers’ coding, and clinical documentation alongside positive impacts for payers in the areas of claims validation and data analytics. But isn’t it too early to tell whether the transition really went well?
What is MGMA's greatest challenge for the year ahead? A permanent fix to the broken Medicare SGR payment formula, and the related lowered payments from private payers. We...
Some experts are predicting a spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking providers are assembling teams to prepare now.
AHIP says healthcare needs more time for ICD-10 switch America's Health Insurance Plans (AHIP) says that the healthcare industry needs three years beyond Congress'...