#HEALTHCARE RCM SOLUTIONS
Although the client was experienced in medical billing, collections and revenue cycle management, they did not have adequate coding expertise and had to prepare themselves to deal with the changes to be introduced by ICD-10. The company was averse to a wait and watch approach to tackle potential problems as they may arise. Fearing productivity may plummet once ICD-10 is implemented; they approached us to help them to:
We were confident about managing the transition from ICD-9 to ICD-10 before the live date, because we had been preparing for the ICD-10 deadline since late 2011. By the time the client approached us, all our staff were trained in both ICD-9-CM and ICD-10. While preparing, we discovered that ICD-10-CM is not overwhelmingly different from ICD-9-CM and so could be easily learnt. This, however, was not the case with ICD-10 PCS.
We formed a team of trainers who had acquired deep knowledge of ICD-10 along with years of work experience in ICD-9. The team went about identifying coders from diverse areas in the client’s team, having robust knowledge of ICD-9, a learning bent of mind and willing to embrace changes. The objective was to ensure that they could personally assist or train other coders in adapting to the new coding requirements.
From the onset we were clear about one thing – make the training intensive. Keeping this in mind, we planned a time table that involved 4 hours of rigorous training and making the trainees perform several repetitive tasks every day. We convinced the client to hire contract coders while in-house coders received training. This ensured that the trainees remained focused on learning the new codes.
Allaying fears about ICD-10 was our foremost task and we developed a detailed approach to tackle it. Our first task was to focus on the more manageable changes. Next, we created a General Equivalence Mapping (GEM) that covered examples of how several ICD-9-CM codes can be mapped to only one ICD-10 code. This was followed by creation of a third GEM that included examples of how multiple ICD-9-CM codes link to one ICD-10-CM combination code. The approach proved to be helpful as trainees gradually digested the changes and realized that, overall, the changes are certainly manageable.
The training was carried out with equally intensive audit to ensure high-levels of accuracy. Having earmarked an acceptable accuracy rate, we subjected the coders to weekly audits. This helped us track issues as they arose, develop a corrective action plan, and provide education based on reviews.
WHAT OUR CLIENTS SAY
Diskriter has been our partner since last 20 years for optimizing our RCM process, and professionally handling the complexities of our health care business. Our profitability has been consistently expanding with Diskriter.Braylon Walker (VP of RCM Process in leading US based super-specialty hospital)
We are thankful to Diskriter for professionally managing our crucial staffing requirements, and fulfilling all our recruitment needs. Not only they were super fast and efficient, but, clearly & quickly, they understood our business goals.Itzel Anderson (Hiring Manager at Fortune 500 firm, in US)
Diskriter helped our ecommerce business to scale, beyond our expectations. Their creative designs, combined with robust development work was incredibly good and effective. ROI? Diskriter are experts in giving you the real ROI!Draven Smith (Digital entrepreneur from Texas, US)