Solutions for the Health Industry

The long-awaited, long-feared and long-lobbied transition to the ICD-10 diagnostic and procedure code set is all but here. On Oct. 1, health care providers across the country will begin using 155,000 different codes to more accurately describe a patient's illness or injury, the treatment for that illness or injury and what the provider will bill a payer for that care. That's nearly seven times the number of coding choices providers have had under the ICD-9 code set.

Providers and payers have been preparing for the transition to ICD-10 for the past several years albeit some more aggressively than others. The test of their readiness and how well they prepared will be revealed in the first days, weeks and months after the transition.

How will providers know whether their preparation has paid off? RelayHealth Financial, a McKesson health information technology business unit, has launched a new website called ICD-10 Central that offers providers free and near real-time access to what it believes are four of the key performance indicators of ICD-10 success.

ICD-10 Industry Benchmarks Infographic

    The data for each KPI are derived from more than 2,400 hospitals that use RelayHealth's revenue cycle management solutions to bill payers for care to patients.

    Each KPI on the ICD-10 Central dashboard can be displayed in the aggregate for all hospitals. Or, each can be broken down by four service lines (cardiology, OB/GYN, orthopedics and radiology), four regions (Midwest, Northeast, South and West) or four bed-size categories (less than 100 beds, 100-249 beds, 250-400 beds and more than 400 beds).

    “These key metrics are continuously monitored and updated, enabling visitors to easily identify trends over time, gauge their own performance and take corrective action as needed,” RelayHealth said in a press statement announcing the launch of the new website.

    In September—one month before ICD-10 takes effect—here's where the four KPI needles pointed:

    Days to Final Bill:

    14.3 days

    Days to Payment:

    41.1 days

    Denial Rate:

    1.4 percent

    Reimbursement Rate:

    28.8 percent

    How those numbers change in the short term after Oct. 1 will provide the ultimate evaluation of how well providers prepared for the transition to ICD-10.

    Tracking the four ICD-10 KPIs and comparing them with industry benchmarks is crucial for any provider that wants to avoid any long-term negative impact on its financial sustainability.

    For more information, visit the ICD-10 Central website or visit RelayHealth Financial online.


    About the author

    McKesson editorial staff is committed to sharing innovative approaches and insights so our customers can get the most out of their business solutions and identify areas for operational improvement and revenue growth.

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