How will my practice benefit from ICD-10?

ICD-10 provides an enhanced platform for physician practice. As of October 1, 2015, the ICD-10 coding classification became the new baseline for clinical data, clinical documentation, claims processing, and public health reporting.

From proper observation and documentation to improved clinical documentation, progress notes, operative reports, and histories, the benefits of ICD-10 begin with enhanced clinical documentation enabling physicians to better capture patient visit details and lead to better care coordination and health outcomes.

Ultimately, better data paves the way for enhanced quality and greater effectiveness of patient care and safety. The benefits of ICD-10 will impact everything from patient care to each practice’s bottom line.

Why prepare for ICD-10?

Reasons to prepare for ICD-10 can be broken down into four categories:
Clinical Icon

Clinical

  • Informs better clinical decisions as better data is documented, collected, and evaluated
  • Provides new insights into patients and clinical care due to greater specificity, laterality, and more detailed documentation of patient diseases
  • Enables patient segmentation to improve care for higher acuity patients
  • Improves design of protocols and clinical pathways for various health conditions
  • Improves tracking of illnesses and severity over time
  • Improves public health reporting and helps to track and evaluate the risk of adverse public health events
  • Drives greater opportunity for research, clinical trials, and epidemiological studies
Operational Icon

Operational

  • Enhances the definition of patient conditions, providing improved matching of professional resources and care teams and increasing communications between providers
  • Affords more targeted capital investment to meet practice needs through better specificity of patient conditions
  • Supports practice transition to risk-sharing models with more precise data for patients and populations
Professional Icon

Professional

  • Provides clear objective data for credentialing and privileges
  • Captures more specific and objective data to support professional Maintenance of Certification reporting across specialties
  • Improves specificity of measures for quality and efficiency reporting
  • Aids in the prevention and detection of healthcare fraud and abuse
  • Provides more specific data to support physician advocacy of health and public health policy
Financial Icon

Financial

  • Allows better documentation of patient complexity and level of care, supporting reimbursement for care provided
  • Provides objective data for peer comparison and utilization benchmarking
  • May reduce audit risk exposure by encouraging the use of diagnosis codes with a greater degree of specificity as supported by the clinical documentation