Predicting Payment Impact of ICD-10 through Analytics

We enjoyed attending the 2012 AHIMA ICD-10 Summit and the chance to see Louis F Rossiter, PhD, Director Scientific Methods from New Health Analytics and Maria Bounos RN, MPM, CPC-H, Business Development Manager from Wolters Kluwer Law & Business present on Predicting Payment Impact of ICD-10 through Analytics.

Presentation Overview: ICD-10 is not just a coding problem; but a strategic problem that affects the hospital revenue cycle and requires organizational change management. The session explores use of advanced analytics to understand payment impact to a hospital’s bottom line under ICD-10. In 2013, all common reimbursement schemes for hospital inpatient procedures currently based on ICD-9 will be directly affected by the ICD-10 transition. A change in hospital reimbursement amounts by diagnosis-related group or service line is inevitable given the differences and complexities between ICD-9 and ICD-10 diagnosis and procedure codes. The effect of the transition will vary for each hospital. A recent report indicated that of all competing hospital initiatives, ICD-10 carries the largest risk to financial health of a hospital. Hospitals need to understand the financial implications of moving from ICD-9 to ICD-10 and determine the revenue impact by provider or system facility, service line and geography.  

Event Description: The annual AHIMA ICD-10-CM/PCS Summit is the premier healthcare industry event dedicated to the exploration of the challenges and opportunities represented in the transition to the ICD-10-CM/PCS coding systems. This is accomplished through the open discussion and participation of thought leaders from all segments of the healthcare industry, including providers, payers, vendors, consultants, and secondary data users. The 2012 ICD-10-CM/PCS Summit provides a forum for all stakeholders to learn how each industry sector will impact the others.

Proper advance planning and preparation are critical so that organizations can leverage their ICD-10-CM/PCS investments and achieve strategic advantage rather than just compliance. The 2012 ICD-10-CM/PCS Summit will feature information, resources, and networking opportunities the audience needs to effectively plan and manage the transition process and gain this strategic advantage. Healthcare leaders will have the opportunity to expand their knowledge of “best practices” for implementation preparation and data trending strategies, as well as recommended strategies for effectively managing and coordinating competing priorities.