Impact of ICD-9/ICD-10 on the Revenue Cycle Student’s Name Institutional Affiliation.

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Presentation transcript:

Impact of ICD-9/ICD-10 on the Revenue Cycle Student’s Name Institutional Affiliation

The transition and implementation of ICD-9/ICD-10  ICD-10 is change in standard coding system in health care  In order to ensure proper transition the health facility must having coding system for translation  The system translates codes in ICD-9 into the ICD-10  The system should be able to support both the ICD-9 and ICD-10 during the process of transition  ICD-10 is being seen as the most ideal method for clarification of diseases due to its huge amounts of benefits

The impact ICD-9/ICD-10 will have on the Revenue Cycle ICD-10 is not only important for coding but it is highly embedded on the revenue cycle by providers Understanding the role of ICD-10 will allow the stakeholders much time in making the project plan better The conversion into ICD-10 will have an impact into important areas of the revenue cycle The important areas that will be positively affected are; data analysis, operations, reporting and information technology ICD-10 will play a very important role in terms of denials management and contract management

Charge Master No. Item/Servi ce Descriptio n Procedure/ Item Code Revenue Code QuantityCharge Echo Encephalog ram JH Thyroid Sonogram Nasal bone x-ray X-ray chest Basic metabolic GD Dopp- venous lowe G OximeterR Try hyperal Blood Culture

Components of CDM explained  Charge Master Number It is the internal control number with which the facility can be able to track transactions  Item/Service Description This is a small phrase that offers a short explanation about the service that has been offered.  Department number Each element of service in the chargemaster is provided with information concerning the department that offered the service. It is the department which can specify the service

 Revenue Code It is a four digit figure which is assigned to every item that is provided by the hospital for the services  Quantity It refers to the dose/unit that is assigned to the services on the chargemaster  Charge This is the amount of money that is received on the service

References Abdelhak, M. (2006). Health Information: Management of a Strategic Resource. Philadelphia, PA: W.B. Saunders Company. CPT codes and resources published by the American Medical Association: assn.org/ama/pub/physician- resources/solutions-managing-your- practice/coding-billing-insurance/cpt.shtmlwww.ama- assn.org/ama/pub/physician- resources/solutions-managing-your- practice/coding-billing-insurance/cpt.shtml