Newly Formed Consortium hopes to make ICD 10 Transition smoother for Smaller Providers

October 1, 2015 has been set as the final date for healthcare providers for ICD 10 implementation. With this, ICD 10 training and implementation has been the major topic of discussion in the medical industry.

Since ICD 10 is about to bring a major change in the overall system, industry experts are looking for simpler ways for ICD 10 training and implementation. Now, it is obvious that there are many barriers for this. However, with these barriers in mind, many groups are working hard to make the ICD 10 transition easier for those who are finding it difficult to make the transition. One of these groups has some of the major players in the industry who plan to work together and make it easier for the smaller providers in the industry to make the ICD 10 transition smoother.

The consortium would first work with the specialty groups and help them with the ICD 9 codes, which they use most often. As the next step, they would learn the ICD 10 translations for these codes. Since the program starts with specialty groups, it can be easily narrowed down and the commonly used diagnosis codes found. With this, the transition would be much easier, since healthcare providers can work on the diagnosis codes that they use frequently first and then take care of the remaining ones at a later stage.

The technical program director of one of the payers in the consortium says, “The framework helps specialties understand how they can map their current ICD-9 codes to the corresponding codes in ICD-10 so they can focus their preparedness activities on their particular book of business.”

The director of the ICD 10 training and implementation team at Humana, Sid Hebert says, “The consortium approach is in response to concerns raised in testimony on Capitol Hill at recent NCVHS hearings that payors may not be able to test with a large number of providers.” He further adds, “This approach allows for interested providers to evaluate their coding proficiency with real-world examples, keyed to specialties, through a dynamic interchange with cooperating payers.”

The consortium would first launch a pilot program at Michigan. However, it is still devising strategies on implementing the plan. If the results are promising, the program would soon be extended to other parts. With this program, the major ones in the industry to be benefited are the small providers. They will be able to focus on ICD 10 training and implementation in a smoother manner.