Medical Survey Results: Doctors Discuss the Benefits of ICD-10

June 7th, 2016 - Practice Suite   

In order to standardize how medical procedures and diseases are described the World health Organization relies on the International Classification of Diseases, or ICD, which is continuously being updated and revised.

In the spring of 2014, the Centers for Medicare and Medicaid Services announced that it would be updating to the latest version of ICD, ICD-10, starting Oct. 1, 2015. Healthcare providers who'd been using ICD-9 for more than 35 years had to learn thousands of new codes in order to prepare for the transition. Ahead of the implementation date, there were concerns that there would be widespread coding errors and payment delays because many assumed medical staffs weren't prepared for ICD-10.

With more eight months under ICD-10 under their belts, the dust from transition has settled for most practices. Luckily, the general consensus seems to be that implementation has gone better than expected.

But has the addition of tens of thousands of new medical codes been helpful for the patients? We recently asked several doctors from across the country their thoughts on whether ICD-10 has been a worthwhile. Reactions were mixed. Here's what they had to say:

Does ICD-10 ultimately benefit the patient? In the end, do you think ICD-10 will be an improvement for your practice? 

"ICD-10 will benefit patients if it allows better data sourcing for disease research. As a practice, we're neutral on the subject of whether ICD-10 was helpful or not."

- Dr. Ari Geselowitz is a State College, Penn.-based radiologist who's been in practice for three decades since graduating from Penn State University College of Medicine.


"I don't see ICD-10 as beneficial to patients. It just increases overhead, which already eats up way too much of the healthcare budget. It won't make any change in radiology. We just code the information sent by the referring provider."

- Jay Sokolow MD FACR, is a Connecticut-based radiologist who received his medical degree from University of Vermont College of Medicine and has been in practice for more than three decades.

"From our research perspective we think this will be very important for patient care, mostly in getting the right medication into a specific disease type. I think it is moving in the right direction. As strong proponents and deliverers of precision-based medicine, we feel this upgrade will help to more accurately tie in diagnosis, treatment and predictive risks."

- Dr. Joel C. Robertson is the founder and CEO of Robertson Health, a multi-faceted organization dedicated to making a lasting impact on healthcare around the world through a network of for-profit and non-profit organizations.

"Yes, it does benefit patients. Better histories mean better readings. We do not engage in research, but I suspect the ability to mine data will also provide long-term benefits. It is an improvement for our practice as well. Again, the main reason is better patient information that will help us in reading the studies, recommending follow up and more accurate billing and coding will hopefully shorten the revenue cycle. That last point may be wishful thinking."

- Robert L. Falk, MD, is a staff radiologist with Radiology Specialists of Louisville in Louisville, Ky.

"I do think it benefits the patient, as there is value in greater specificity of diagnoses. This will aid patient care as a patient moves between providers, carrying these more specific diagnostic codes with them. And I think it benefits the practice, particularly when it comes to HCC coding/higher reimbursement rates from Medicare. If we do the work to maximize our coding specificity, we will reap the financial benefits, and patient care will improve as well."

- Joshua Davidson, MD, MPH is a Lead Clinician and Allergy/Immunology Specialist with HealthCare Partners Medical Group in Redondo Beach, Calif. 

The CMS gave physicians a one-year grace period to adjust to ICD-10, after which they could face penalties for errors, mistakes and malfunctions - so providers might not want to sigh in relief just yet. Not to mention, the 11th revision of ICD is scheduled to be finalized in 2018 - so we'll probably have to check back in in a couple short years.


This physician survey was conducted by PracticeSuite, helping over 25,000 medical professionals worldwide.

###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

Artificial Intelligence in Healthcare - A Medical Coder's Perspective
December 26th, 2023 - Aimee Wilcox
We constantly hear how AI is creeping into every aspect of healthcare but what does that mean for medical coders and how can we better understand the language used in the codeset? Will AI take my place or will I learn with it and become an integral part of the process that uses AI to enhance my abilities? 
Specialization: Your Advantage as a Medical Coding Contractor
December 22nd, 2023 - Find-A-Code
Medical coding contractors offer a valuable service to healthcare providers who would rather outsource coding and billing rather than handling things in-house. Some contractors are better than others, but there is one thing they all have in common: the need to present some sort of value proposition in order to land new clients. As a contractor, your value proposition is the advantage you offer. And that advantage is specialization.
ICD-10-CM Coding of Chronic Obstructive Pulmonary Disease (COPD)
December 19th, 2023 - Aimee Wilcox
Chronic respiratory disease is on the top 10 chronic disease list published by the National Institutes of Health (NIH). Although it is a chronic condition, it may be stable for some time and then suddenly become exacerbated and even impacted by another acute respiratory illness, such as bronchitis, RSV, or COVID-19. Understanding the nuances associated with the condition and how to properly assign ICD-10-CM codes is beneficial.
Changes to COVID-19 Vaccines Strike Again
December 12th, 2023 - Aimee Wilcox
According to the FDA, CDC, and other alphabet soup entities, the old COVID-19 vaccines are no longer able to treat the variants experienced today so new vaccines have been given the emergency use authorization to take the place of the old vaccines. No sooner was the updated 2024 CPT codebook published when 50 of the codes in it were deleted, some of which were being newly added for 2024.
Updated ICD-10-CM Codes for Appendicitis
November 14th, 2023 - Aimee Wilcox
With approximately 250,000 cases of acute appendicitis diagnosed annually in the United States, coding updates were made to ensure high-specificity coding could be achieved when reporting these diagnoses. While appendicitis almost equally affects both men and women, the type of appendicitis varies, as dose the risk of infection, sepsis, and perforation.
COVID Vaccine Coding Changes as of November 1, 2023
October 26th, 2023 - Wyn Staheli
COVID vaccine changes due to the end of the PHE as of November 1, 2023 are addressed in this article.
Medicare Guidance Changes for E/M Services
October 11th, 2023 - Wyn Staheli
2023 brought quite a few changes to Evaluation and management (E/M) services. The significant revisions as noted in the CPT codebook were welcome changes to bring other E/M services more in line with the changes that took place with Office or Other Outpatient Services a few years ago. As part of CMS’ Medicare Learning Network, the “Evaluation and Management Services Guide” publication was finally updated as of August 2023 to include the changes that took place in 2023. If you take a look at the new publication (see references below),....



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association