Study: Providers May Lose Medicaid Money and Patient Info Due to ICD-10 Transition

According to a new study, providers may experience financial and information losses when they transition to ICD-10 in October. Researchers focused on outpatient codes associated with hematology-oncology diagnoses in 2010 that were pulled from databases in the Illinois Medicaid program and the University of Illinois Cancer Center; they then translated the current ICD-9 codes to ICD-10 using a “specially devised Web-based tool,” which resulted in “significant information loss.” In total, the 39 ICD-9 Medicaid codes cited for information loss accounted for 3% of the doctors’ total Medicaid reimbursements and more than 5% of the cancer center’s billings. Researchers note that part of the problem is that the code translation system from the CMS is complicated and difficult to use.

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