<p> ICD 10 contains a lot more codes than ICD 9, with the former containing more than 150,000 codes and the latter 17,000 codes. It requires several ICD Ten codes to cross walk to one ICD 9 code. ICD 9 contains around 17,000 codes; ICD 10 contains more than 150,000 codes ICD 9 to ICD 10 code mapping will need in depth translations in benefit plan configuration as well as claims adjudication logic To remediate ICD 10 requires major technological modifications to databases, computing logic, reports, extracts, desktop and workflow procedures, and data imports. There is need to process the ICD 9 codes in addition to ICD 10 codes for a given period of time as well as normalize the data for the purpose of comparability and trending. There is a high chance of inaccurate processing and even reporting of ICD 9 codes, and these could coexist with ICD Ten codes, making the whole system confusing and inaccurate. There is a major loss in operational productivity across the organizatio
n during the initial period of the implementation process. There is need for thorough and extensive training across many of the cross operational departments. There might be a negative impact on the historical data used for underwriting and rating caused because of the simultaneous use of ICD 9 and ICD Ten codes. Coding and reimbursement discrepancies can cause a backlog of claims and major payment delays. There is a potential for increase in fraud cases during the transition process. There could be a potential need to remediate more than one core claims platforms. In order to achieve ICD Ten compliance, there might be a need to replace obsolete legacy or packaged applications that could be difficult to implement or costly. The Dell ICD 10 transmission process is also associated with staffing shortages, particularly in IT.Overall, despite the challenges, making the transition to ICD 10 codes is a great decision on the part of any healthcare facility.
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