HBMA’s 5 Lessons From 5010 the Healthcare Industry Can Apply to ICD-10

The Healthcare Billing and Management Association testified before the National Committee on Vital and Health Statistics’ Subcommittee on Standards in Washington, D.C., on mistakes the healthcare industry can avoid during the ICD-10 coding transition.

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Holly Louie, chair of HBMA’s ICD-10/510 committee talked about lessons healthcare providers and industry groups can learn from the HIPAA 5010 implementation and translate to ICD-10. Without attempting to avoid the 5010 pitfalls, healthcare facilities and the entire healthcare reimbursement system will be at risk of affecting provider viability and patient care, she said during her testimony.

Here are five lessons, according to HBMA, that the healthcare industry should heed during the ICD-10 switch:

1. Complete end-to-end testing with all payers to ensure readiness.
2. CMS must establish good benchmarks for readiness, not to be ignored by industry members.
3. Physicians and staff cannot rely on a vendor or software coding tool for accurate documentation and coding. Rather, appropriate education is the only way to be prepared.
4. Payer policies published by Oct. 1 must allow time for education, training and data analysis.
5. Payers only accepting 4010 claims must be 5010 compliant by Jan. 1, 2014, to be ICD-10-CM ready.

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