Predicting ICD-10 losses and tracking key performance indicators

October 28th, 2015

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article examines the operational and financial effects of ICD-10 implementation on healthcare organizations, with emphasis on productivity, accounts receivable, claims handling, denials, and key performance indicators. It is aimed at HIM professionals, coders, revenue cycle leaders, billers, and facility managers who need to understand broad planning and monitoring considerations during the transition period.

Why This Topic Matters

ICD-10 transitions can affect staffing, workflow, cash flow, and claim management across multiple departments. Understanding the article helps readers evaluate whether their organization is tracking the right performance measures and preparing for productivity changes.

Article Sections

  1. Predicted losses

    This section discusses anticipated productivity and revenue-cycle effects associated with ICD-10 implementation. It addresses how organizations may estimate broader operational impact across coding, billing, claims management, and related workflow areas.

  2. Key performance indicators to watch

    This section outlines the types of operational and financial metrics organizations may monitor during the ICD-10 transition. It also discusses ways facilities may think about benchmark tracking, staffing, documentation, and denial management.

  3. Minimizing the impact on KPIs

    This section covers broad strategies organizations may consider to reduce disruption to performance measures during ICD-10 adoption. It focuses on workforce readiness, documentation review, education, and claims workflow support.

What You Will Learn

  • How ICD-10 implementation may affect productivity and revenue-cycle performance
  • Which categories of operational metrics organizations may monitor during the transition
  • Why documentation and denial management are emphasized in ICD-10 planning
  • How facilities may think about benchmarking and variance during the move from ICD-9 to ICD-10

Who Should Read This

  • HIM professionals
  • Medical coders
  • Revenue cycle managers
  • Billing staff
  • Hospital administrators
  • Physician practice managers

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