IMPACT of ICD-10 Upon Reimbursement
Is anyone aware of any published 'white paper', website, or other source document speaking to the impact of ICD-10 upon reimbursement? I am not referring to the known impact upon billing (lessened cash flow) due to coder productivity, rather, I am referring to other projected consequences of reimbursement - increases or decreases in projected reimbursement resulting directly from the conversion from ICD-9 to ICD-10.
Thanks, Paul EVans
Thanks, Paul EVans
Comments
CMS has an article that discussed the impact on DRGs.
Impact of the Transition to ICD-10 on Medicare Inpatient Hospital Payments
Abstract: On October 1, 2013 the reporting of diagnoses and procedures in the U.S. will transition from the clinical modification of the ninth revision of the International Classification of Diseases (ICD-9-CM) to the tenth revision (ICD-10). The impact of conversion to ICD-10 on Medicare MS-DRG payments to hospitals was estimated using 2009 Medicare data. A minimal hospital payment increase of 0.05 percent was found using the ICD-10 version of MS-DRGs. In contrast, a modest hospital payment decrease of 0.38 percent was found when ICD-10 data was mapped backed to ICD-9-CM and the ICD-9-CM version of MS-DRGs was used. Key words: ICD-10, Mapping, Payment Impact, MS-DRGs
SSSince 1979.
http://www.cms.gov/Medicare/Coding/ICD10/Downloads/MsdrgConversion.zip
Dorie Douthit RHIT,CCS
AHIMA-Approved ICD-10-CM/PCS Trainer
ddouthit@stmarysathens.org
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
evanspx@sutterhealth.org