Is your Practice Prepared for Cash Flow Disruptions Post ICD-10? Did you know that if the CMS fails to process one in five Medicare claims properly, it will lead to serious financial challenges for healthcare organizations? According to the industry experts, if CMS doesn’t develop suitable contingency plans, the ICD-10 transition might prove to be detrimental for various medical facilities, especially small practices. The impact of the transition could lead to loss of multi-billion dollars and also result in challenges associated with access to care for the Medicare patients. Industry facts According to the latest ICD-10 end-to-end testing results, Medicare claims that the acceptance rate might decline from 97% to just above 80% if the new coding system is implemented before the October 01 deadline this year Small physician practices with one to five physicians might find the ICD-10 testing more challenging compared to large healthcare facilities Need for a Contingency Plan to Reduce Revenue Loss The American Medical Association (AMA) and 99 other specialty groups from all over the US have requested CMS to develop a contingency plan for the anticipated revenue loss once the new coding system is implemented. According to the AMA, contingency plans will help to reduce unnecessary administrative tasks and save thousands of dollars. Are you Prepared for Risks of the ICD-10 Transition? Healthcare organizations need to be prepared for some major risks associated with the ICD-10 transition, such as:
Unprepared billers and coders Lack of preparation by billing, EHR and practice management vendors Insufficient training for billing and medical staff Reduced productivity of physicians and staff
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