Medical Billing: Tell Me More About ICD-10

By Eddie Carrie


Understanding ICD-10CM is a new concept for most billers. They are still trying to adjust to these changes because it is not an easy system to understand. Some of the new changes that have occurred are: the first 3 digits identify the category, the first digit is always alphabetic, you can use a combination of codes in order to diagnose more than one illness at a time, and you can use alpha coding (allows for consistency).

It is important to asses your home health agency. See if the transition will upgrade the billing process. Is this going to help speed up the billing process or slow it down? It is important to find out now because you don't want to wait 90 days for a check to come in the mail from the insurance companies.

You can also take advantage of health consultants and CMS online assistance. These are great if you don't have an exact idea how you are going to go about your transition into ICD-10. Believe it or not, ICD-10 becomes less scary when we take out the time to learn it. If you don't have the time, hire someone that does. Having a definite plan is an awesome experience. Most people don't how well they will do with ICD-10. However, over time, people will come to realize that the billing system only helps you to understand coding better.

If you are a physician, it is probably best to outsource your coding at this point. If you choose to do it in house, then it is a good idea to hire someone that knows a lot about coding and billing. This is the only way to keep everything afloat in your life. Take each day as it comes to you and don't worry so much about things not going in a good direction. There is a format that seems to work well for you. From time to time, things begin to take off in new and positive directions.

It is important that you get a health care consultant if you wish to keep your billing in house. They can provide you with tools such as cross walking your ICD-9 hospice diagnosis codes to ICD-10. It is a difficult process that needs to be addressed over time. Eventually, everything begins to balance and take shape. It is a natural response to the health code system.




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