If you look at what happened in Canada after ICD10 implementation, we can expect many private practices of many specialties to be out of business some time after the conversion. Why? because ICD10 actually makes seeing a moderate to high volume of patients per day nearly impossible while seeing fewer patients per day may not generate enough revenue to keep your office open.
This is an international effort pushed by the WHO for the purposes of segregating diagnoses by extent and paying less for less significant diagnoses.
In every industrialized nations’ transition to ICD 10 there have been no crosswalk. That means there will be no way to directly convert the ICD-9 codes that you are using now, to ICD 10 codes. You will have to add in several factors into the diagnosis that will remove the ability to automate a conversion. Moreover, to substantiate these factors your documentation will be much more laborious to support these claims.
“five percent of all ICD10 codes map directly to ICD9 codes, and only 26% of ICD9 codes map to ICD10 codes( SEE 4) Thus, from the Canadian model we can expect a permanent decrease in reimbursement and productivity ( SEE 3)
The big difference between the US and the rest of the industrialized world is that we supposedly do not have socialized medicine and arguably better care available. So the argument that the US is “behind” in implementing this system is highly suspect. Why does the only hold out on socialized medicine want to follow the rest of the world’s lead on how to code and pay for medical services??? It is not going to help you practice better medicine, but it will severely delay your reimbursement and when it is fully implemented it will give insurance companies greater ability to deny your claim or pay you substantially less for your services.
Pay attention as the AMA lobbies to kill or postpone ICD 10 (After supporting the legislation that demanded ICD10 implementation). Here are a few links upon googling efficiency and ICD10 to help give you a better picture of the storm headed our way.
Marc Garfield, DPM, FACFAS