Revenue Cycle Management Blog | GroupOne Health Source

Why Your ICD-10 Implementation Failed

Written by Keith Lage | October 27, 2015

You might be wondering why hundreds of practices experienced a smooth transition to ICD-10 but your practice didn't. Was it really that easy? Did you miss something? The ICD-10 transition was the biggest change to healthcare in decades. Why is my practice the only one struggling? 

How could this happen?

Benjamin Franklin once said "by failing to prepare, you are preparing to fail". Your practice failed to prepare. Your coders and billers assured you that they would be able to keep up with the ICD-10 coding changes but no one made sure they could pass the test. Your EHR vendor said they would be able to support ICD-10 codes, but they made the process of changing your templates and codes time consuming and difficult. 

Of course the happy practices still worried about the ICD-10 transition but they knew they had done everything to prepare. There was extensive training, testing, and more training. They worried about the unknown but they didn't worry about their EHR being ready, claims denials, or productivity. The difference? Their vendors had their back. Their EHR and revenue cycle managment teams were ready and fully supported their questions before, during, and after October 1st. Check out what this happy practice had to say about their ICD-10 experience:

"I just fininshed working my ICD10 que and I just wanted to commend the GroupOne coding staff for doing such a FANTASTIC job of helping us with the proper code suggestion to replace the one that was entered. It would have taken me at least 2 hours to stop, look up codes, consult with providers (who are still struggling at this point), then make a final decision as to what code should have been entered. Thank you so much for sharing your knowledge with us and streamlining what could have been a very time intensive process! KUDOS to the coding team!"

Connie Wright, MSN RN
Practice Manager for Prime Medical Group

The worst part? 

Your ICD-10 transition could have been painless. It could have been GREAT. Hindsight is 20/20 and you are regretting underestimating the impact of ICD-10 on your practice. Now you're struggling with documentation and hoping that your billing team can keep up with the denials.

It's never a good feeling to fail or admit that you are wrong. The transition to ICD-10 hasn't worked out in your favor but you can still turn things around.

Reach out for assistance because there are more changes on the way. Meaningful Use Stage 3 and PQRS adjustments are just around the corner. Get your EHR and revenue cycle under control before you have to take on the next big challenge.