Ready for more ICD-10 precision?

Most hospitals are not.

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Many hospitals feel that the ICD-10 roll out went smoothly, however concerns are growing as the grace period came to an end on October 1, 2016.

Now, coders must be more precise or claims may be rejected by private insurers and by CMS.

Experts are worried that the negative effects of the transition will begin in the coming months. Many providers lowered productivity standards to deal with the new codes.

Providers are expecting more denials in the coming months.

How long can you expect the new level of difficulty with codes to last?

According to experts, the problems with ICD-10 after the grace period could last anywhere from 18 to 24 months.

Typically, providers have been looking at what has been reimbursed rather than the level of detail necessary to get reimbursed by the different insurers.

There will be a new learning curve as providers must code with a new level of specificity.

Overall, accuracy and productivity have dropped since the implementation of ICD-10. Scores have been low across the board and now are expected to drop more.

Let us know your thoughts! Are you concerned about experiencing more denials in the coming months due to ICD-10 specificity?

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