A big day is coming for Healthcare Billers in our country. While Denver disability lawyers and Denver disability attorneys are there for their clients to provide guidance and smooth the transition during difficult times, so much depends on doctors and billing offices submitting their billing requests in a uniform manner. Greeley workers’ compensation lawyers will soon find there may be more hiccups in the system than usual.
ICD-10 is a new streamlined billing system the healthcare industry plans to transition to in October of 2015. Luckily, ICD-10 applies specifically to Medicare patients and is intended to make billing simpler on a national scale. However, millions of Americans rely on Medicare in order to receive medical treatment. Already, Medicare recipients have trouble finding good medical providers to treat them for their various ailments because, since it’s a government agency, there has to be consistency throughout the program. This means billing can be as different as night and day between state and Medicare, not to mention the cost of services remains the same whether the patient receiving them has Medicare or a private insurer that can pay more for a given service.
A medical provider who does provide service to individuals who have Medicare as their primary insurance already has to work extra to make sure it submits its bills properly—within the letter of the law—for treatment injured people receive. With the transition, these providers have to learn an entirely new language for their submissions and many providers anticipate higher rates of denial on government funding for the services they provide. Once a provider receives a denial from the government, it has to scramble and find a way to solve the issue or it ends up unpaid for a service it provided. Once or twice, this kind of denial won’t do much to affect a business’s bottom line, but if this trend continues, it means the end of many providers’ accepting Medicare at all. That further limits the amount and choice in treatment and care patients can receive.
The biggest change under ICD-10 is medical coding. This means it will take time for coders to streamline their process in the new language, which will cause backups in medical bills and loss of productivity while people try to figure this out. And many states have outright said the majority of their providers will not be ready for the transition at all by October 1st, Colorado among them.
Workers’ Compensation can be difficult, confusing, and very complex. Kaplan Morrell has helped thousands of injured workers since 1997 get the benefits they deserve. Contact us here or call us at(866) 356-9898 for your free consultation.