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ICD-10 Support/Education for Revenue Cycle Staff

 

Most training for ICD-10 should be well underway for coders and at a minimum, scheduled for physicians and other referring providers. But what about Revenue Cycle Staff? Patient Access (PA) and Patient Financial Services (PFS) activities will be impacted with the onset of ICD-10. PA and PFS staff do not need to know how to code; they need to have an understanding of code changes and how it impacts their work.

 

Under ICD-10, it is anticipated that denials will increase 100% - 200% from the current denial amount. Cash is projected to decrease. Accounts Receivable is slated to increase. CFOs will look to PFS to maintain financial results, so a gap analysis of current to future state is needed now for ICD-10.

 

From front to back – Scheduling to Denials Management – robust testing must be done to implement the new coding methodology. There are many entry points that involve diagnosis and procedure coding under ICD-9. Each of these areas will be impacted by the ICD-10 change. Vendors are aware of ICD-10 but must be monitored within the Revenue Cycle to ensure compliance with the October 1, 2014 implementation date. System interfaces to current PA and PFS systems must also be tested. The changes in systems only work if they interface properly.

 

Revenue Cycle ICD-10 points of impact typically include:

  • Scheduling
  • Registration
  • Eligibility
  • Authorization (current and prior)
  • Clinical documentation
  • Claims submission & reimbursement
  • Reporting of quality measures
  • Clinical workflow
  • Financial workflow
  • CBO workflow
  • Denials

 

If you have Revenue Cycle operational, analytical, or educational needs, we can help you make the crucial shift to ICD-10. KHC has a balanced team of revenue cycle, compliance, accounting, clinical, and coding professionals. We can customize your ICD-10 education to address your priorities. Call Kohler Healthcare Consulting Today!

 

 

KOHLER HealthCare Consulting, Inc. (KHC)

has been a leader in hospital operations, clinical support, regulations, and reimbursement for over 30 years. Kohler HealthCare Consulting is an independent consulting firm with a staff of highly experienced, engaged, and credentialed staff.

 

Our professionals bring a balance of expertise that creates the opportunity for collaboration and problem solving.

 

Our services are continually expanding and evolving in the areas of revenue cycle, CBO support; ICD-10 analytical, operational, and project management services; fiscal, clinical, operational, and quality improvement, financial operations, and regulatory and compliance consulting, as well as litigation support.

 

Our commitment to client satisfaction is proven by the longevity of our client relationships. Many of our clients have been clients for ten (10) years or longer.

 

Kohler HealthCare Consulting’s goal is to provide our clients high value, cutting edge services. Our consultants have worked in industry, in hospitals and physician practices, and large consulting firms.

 

 

Contact us to help
put the pieces together
KHC Offices (410) 461 – 5116

 

Collaboration + Knowledge = Sustainable Results

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