How much time—and money—do you have to lose per patient searching for the correct diagnostic code? ICD-10 codes will increase the number of codesdramatically; finding the correct code could be like searching for a needle in a haystack.

Generating the revenue you deserve for the patients you treat depends on the accuracy of medical coding and billing.

As precision in coding increases, so may profits. Errors in billing can result in denied payments.

A massive change will happen on October 1, 2014, with the introduction of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). Diagnostic codes will rise from 13,000 to more than 68,000 – a nearly 425% increase.

Example: ICD-9 has one code for insect bite. ICD-10 increases the code selection for insect bites to 180.

Complexity of the codes will also increase. ICD-9 codes are largely numeric and contain three to five digits. ICD-10 codes are alphanumeric and contain three to seven digits.

How will you manage the new and complex billing requirements? How much extra time do you have planned for each superbill you produce after October 1, 2014?

Translation software or general equivalence mapping (GEM) may be slightly better alternatives to searching through the 2” thick book of codes, but mapping or translation from ICD-9 to ICD-10 is not easy or accurate because the code sets are different. An ICD-9 code may not have an ICD-10 equivalent.

“Only 5 percent of ICD-10 codes match exactly to ICD-9 codes.”

“Because there are not 100 percent exact matches between ICD-9 and ICD-10, crosswalking [mapping] is a complex activity that in many cases requires additional review, which emphasizes the reason that coding should be done directly in ICD-10.”*

“In an extreme example, [for] the ICD-9-CM code 733.82 (other disorders of bone and cartilage, nonunion of fracture) there are 2,530 corresponding ICD-10-CM codes due to the degree of specificity required in ICD-10.”**

Having 68,000 codes in your EMR system to choose from in long lists isn’t a time-saving or cost-effective option. For efficiency, billing codes need to generate intuitively right along with your exam notes.

EMA™, the Electronic Medical Assistant® with intelligent coding, is the perfect approach to ICD-10. The bill generates effortlessly right along with the exam notes.

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ICD-9 ICD-10The mandatory transition from ICD-9 to ICD-10 on October 1, 2014,

may be the biggest challenge physicians face this year.

*American Medical AssociationPreparing for the ICD-10 Code Set: October 1, 2014 Compliance Datehttp://www.ama-assn.org/ama1/pub/upload/mm/399/crosswalking-between-icd-9-and-icd-10.pdf

**AAPChttp://www.aapc.com/icd-10/conversion-mapping.aspx

USING EMA MEANS:• No general equivalence mapping (GEM)• No added conversion software• No translation tools• No long lists of codes to sort through

Modernizing Medicine's native approach to ICD-10 is so dramatically different and advanced that it is patent pending. Using structured data to dynamically calculate the ICD-10 codes on demand should ultimately save the physician and coder time. Other systems with templates or unstructured data could put the time-consuming burden of code determination and verification on the office staff and physician.

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www.modmed.com

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