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The transition to ICD-10 is right around the corner, and if we’ve learned anything from the past, it’s that billing transitions do not happen quickly, easily or uniformly. Some payers will be ready for ICD-10 and some will not. Office Practicum is ready for all the challenges and changes that lie ahead–our ICD-10 integration has been designed to maximize your cash flow during the transition.

Easy transitioning for health care providers

It’s true! The changeover to ICD-10 does not have to be a painful process. The answer to a seamless transition lies in our hybrid model. You will be able to select an ICD-9 diagnosis, then select from a list of potential cross-matched ICD-10 diagnoses that are intelligently offered by OP. You can also switch between three different modes: ICD-9 mode, hybrid ICD-9/ICD-10 mode, or ICD-10 mode. This will ensure that you can submit claims to payers with the coding standard they require, whether they are ready for ICD-10 or not.

Simplifying the process for medical billers

Your practice will be able to flag payers in OP that are ready for ICD-10 and those that are not – then OP takes care of the rest! OP will automatically apply the appropriate ICD-9 or ICD-10 diagnoses to claims according to the coding rule for each payer. Even if the primary payer on a claim is ready for ICD-10 and a secondary payer still requires ICD-9, OP will automatically apply the appropriate diagnoses for each claim submission. How easy is that?

Prepare for the ICD-10 transition now

First, and foremost, you must consider building practice cash reserves now to cover potential payment delays during the ICD-10 transition phase that are out of your control. And, if you use visit templates at your practice to streamline your documentation, you will want to cross-code the templates with ICD-10 diagnoses. The process is very similar to the cross-matching of SNOMED codes to Problem List items. It’s never too early to start the process so you’re ready to go on October 1st.

ICD-10: Part 1

ICD-10: Part 2

ICD-10: Part 3

We’re here to help!

If the thought of transitioning to ICD-10 with its 140,000 codes and optional sub-classifications keeps you up at night, or you don’t want to spend your day searching for Placeholder X and deciphering the 7th character, we can help! Our OP RCM team is staffed with expert pediatric billers who can do the work for you. With a First Time Claim Acceptance rate of 97%, you can feel confident knowing that we will do everything to maximize your profitability and get your claims processed correctly the first time. Don’t risk the potential interruption of your revenue stream or the high cost of implementing ICD-10. Let us take care of your billing, so you can take care of your patients!


To learn more about ICD-10 and how you can prepare, watch this on-demand webinar hosted by OP Medical Director Susan Kressly, MD, FAAP.

For the most up-to-date information about the ICD-10 transition visit cms.gov/icd10.

 

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