Understanding Analytics’ Role in ICD-10 Compliance

The final stretch for compliance with the ICD-10 code sets has begun and the final steps include programs to improve the accuracy of clinical documentation to better inform care and capture revenue. Providers are realizing they need data analytics to identify risk areas and opportunities for improvement. The importance of analytics to assess the clinical and financial effects of the new code sets is the theme of an educational session during HIMSS14 in Orlando. …


The final stretch for compliance with the ICD-10 code sets has begun and the final steps include programs to improve the accuracy of clinical documentation to better inform care and capture revenue.

Providers are realizing they need data analytics to identify risk areas and opportunities for improvement. The importance of analytics to assess the clinical and financial effects of the new code sets is the theme of an educational session during HIMSS14 in Orlando.

Brian Levy, M.D., vice president and CMO at the Health Language unit of Wolters Kluwer Health, will explain how converting ICD-9 codes into simulated ICD-10 code using data mapping will help an organization understand how the changeover will affect finances. And, he’ll show how to take raw claims data to identify the most frequently used ICD-9 codes by organization, provider or procedure, and then make sure physicians are properly documenting with the appropriate ICD-10 codes.

Levy will give several examples of how an organization may get paid more or less under ICD-10. Don’t worry about mastering the code sets; focus on those codes that most affect your practice, he counsels. “Realize the need to do analytics and that this is an opportunity to improve documentation and what we’re saying in our charts,” he adds.

Education Session 173, “Leveraging Analytics to Capture the Full Benefit of ICD-10,” is scheduled at 11:30 a.m. on Wednesday, Feb. 26.

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