ICD-10 Healthcare Payments Educational Video

Video #6 in the Healthcare Payments Educational Video Series

Former Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by health care payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #6.

ICD-10 is a diagnostic coding system implemented by the World Health Organization (WHO) in 1993 to replace ICD-9, which was developed by WHO in the 1970s. ICD-10 is in almost every country in the world, except the United States. When we hear “ICD-10” in the United States, it usually refers to the U.S. clinical modification of ICD-10: ICD-10-CM. This code set is scheduled to replace ICD-9-CM, our current U.S. diagnostic code set, on October 1, 2014.

Another designation, ICD-10-PCS, for “procedural coding system,” will also be adopted in the United States. ICD-10-PCS will replace Volume 3 of ICD-9-CM as the inpatient procedural coding system. The final rule stated that CPT® would remain the coding system for physician services.

The number of codes will expand from approximately 13,600 to 69,000. Although this may seem like it adds a high degree of administrative overhead to clinical coding processing, the downstream benefits of uniformity is expected to be significant in the long run, which will ultimately improve the healthcare system.

ICD-10 will not affect the process of EOB conversion or complicate the back-end payment automation which vendors like OrboGraph provide. However, the industry anticipates that the number of denials may increase for the short term due to payers questioning various claim submissions.

Gov. Thompson has strong experience in the healthcare coding process.

To read more about OrboGraph’s EOB conversion solutions, go to http://www.orbograph.com/orbograph-p2post-for-eob-processing.htm. To view this video and others in this series, visit our website at http://www.orbograph.com/healthcare-payments-educational-video-series.htm.