Study: ICD-10 Transition Costly for Pediatricians | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Study: ICD-10 Transition Costly for Pediatricians

June 3, 2014
by Gabriel Perna
| Reprints

A new study reveals that pediatricians may lose money and clinical information thanks to the ICD-10 transition.

The study, from researchers at the University of Illinois at Chicago (UIC), looked at ICD-9 to ICD-10 mappings for pediatrics and which current codes could potentially cause financial or information loss if they were mapped incorrectly to ICD-10 codes. Using the 2010 Illinois Medicaid data to identify ICD-9-CM codes for pediatric patients treated at the University of Illinois Hospital & Health Sciences System, the researchers determined 2,708 diagnosis codes used by pediatricians in 174,500 patient encounters for a total Medicaid payment of $12,298,520.

Using a self-developed web-based tool, the researchers mapped those codes to ICD-10 codes and then categorized them by the complexity of the transition--from easy to hard. They found that 26 percent of pediatric ICD-9 codes have complex mapping to ICD-10, representing 21 percent of Illinois Medicaid pediatric patient encounters and 16 percent of total reimbursements. As an example, the researchers pointed out how the ICD-9 code V38.30 "Twin, mate stillborn" maps to ICD-10 code Z38.30 "Twin liveborn."

"Many pediatric practices, perhaps more than other medical fields, practice on a narrow financial margin and are often reimbursed at lower rates than other specialties, particularly by Medicaid," Rachel Caskey, M.D., UIC assistant professor of pediatrics and co-author of the study, said in a statement.

This is not the first study from UIC on ICD-10 transition, and specifically the financial and data loss that comes from incorrect mappings. As noted in previous studies by UIC, an incorrect mapping could mean practices may not get reimbursed and clinical information could be lost.

Some studies estimate that implementation of ICD-10 will cost between $83,000 and $2 million per practice - See more at: http://news.uic.edu/pediatricians-transitioning-to-icd-10-may-experience...

This study was published in Pediatrics.

“Many pediatric practices, perhaps more than other medical fields, practice on a narrow financial margin and are often reimbursed at lower rates than other specialties, particularly by Medicaid,” said Dr. Rachel Caskey, UIC assistant professor of pediatrics and co-author of the study. - See more at: http://news.uic.edu/pediatricians-transitioning-to-icd-10-may-experience...
University of Illinois at Chicago

University of Illinois at Chicago

 

University of Illinois at Chicago
University of Illinois at Chicago
University of Illinois at Chicago

Read the source article at UIC News Center

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Trump will Nominate Acting VA Secretary Wilkie for Permanent Position

Just a day after the Department of Veterans Affairs (VA) and Cerner inked their $10 billion EHR (electronic health record) deal, President Trump said he would be nominating Acting VA Secretary Robert Wilkie for the permanent position.

ONC Names API Server Showdown Stage 2 Winner

The Office of the National Coordinator for Health Information Technology (ONC) has named 1UpHealth as the Stage 2 winner of the “Secure API Server Showdown” challenge.

EHNAC Developing Trusted Exchange Accreditation Program

To align with the Trusted Exchange Framework and Common Agreement, the Electronic Healthcare Network Accreditation Commission, a nonprofit standards development organization and accrediting body, is working with other organizations to establish a new Trusted Exchange Accreditation Program.

Lawmakers Demand New VA CIO, Citing “Malign Neglect” on EHR Project

A group of Democratic federal lawmakers, five senators and six members of Congress, are calling out the U.S. Department of Veterans Affairs (VA) for what they call “malign neglect” in the agency’s efforts to achieve electronic health record (EHR) modernization.

Medical Record Access Proves Costly for Some Patients, GAO Report Finds

Federal law requires healthcare providers to give patients access to their medical records, but according to a new GAO report, some patients believe they’re being charged too much to access their records.

Parkland’s Innovation Bridge Takes ‘Genius Bar’ Approach to Digital Health Apps

Taking inspiration from the Apple Genius Bar and Ochsner Health System’s O Bar, the Dallas-based Parkland Center for Clinical Innovation in collaboration with Parkland Health & Hospital System has opened an “Innovation Bridge” to assist patients with health-related apps.