With ICD10 being literally right around the corner, and the concerns about how a claim will process, we wanted to share some possible game plans for your practice to consider adopting.
Here at American Physician we are planning to use a Less is More, tiptoe approach initially for our claims. ICD10 allows up to 12 diagnoses on any individual claim, and was intended to allow for more specific reporting in relation to these additional diagnoses. However, with a bit of concern on how the insurance company’s computer algorithms will receive this much information, we are implementing with a bit of caution.
A good diagnosis match, with only one or 2 relevant codes for the first claims submitted and an eye on payer response will be our first toe in the water. When we have confidence that each payer’s (and we submit to a lot of different payers!) system is receiving smoothly we will then incrementally increase the claim data, again tracking each for potential rejections.
A good tracking system is obviously a necessity during this process, and I am personally a fan of using Excel, but there are many programs, or even paper systems that be utilized based upon personal preference. Just be sure you are using something to track your responses so necessary adjustments are made while we are all in the learning and transition phase.
Eventually this will all become as routine as ICD9, but a little extra diligence seems to be the order of the day!
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