Just the thought of going from 18k to more than 140k codes says more than just billing; it screams quality control. ICD 10’s will provide granular insight into what providers are actually doing as well as provide more detailed information regarding the effectiveness of procedures and subsequent treatments.
More accurate classification means improved monitoring of patients with chronic diseases to:
Ensure they’re receiving the correct quality of care
Tailor programs to meet their unique needs
To prevent potential risk of complications
With ICD 9s, new procedures are lumped together with older procedures making diagnosis more difficult and ascertaining accurate statistics very challenging. With ICD 10s, the additional codes will allow procedures and techniques to be more clearly differentiated which will give providers and practices the ability to mirror procedures and truly measure outcomes.
Accurate documentation of care provided is vital, not only for healthcare quality but to reduce fraud. Utilizing ICD 10 codes will allow providers to be more descriptive and accurate while eliminating many 'gray areas' where fraud is often found.
The transition to ICD 10 is long overdue and if it wasn’t for the complexity and expense of implementation it would have been required sooner. Regardless, the change is necessary and it will be very interesting to see all the positive changes, in addition to the ones mentioned above, stemming from this. Hopefully, we'll look back on this in three to five years and wonder why it ever took us so long!