The Data Scientist - the WPC Healthcare Blog

How Providers Can Achieve Success in ICD-10 Conversion

Engaging Payers in the Move to ICD-10


Perhaps the single most important success factor in the move to ICD-10 for hospitals is to effectively engage health plans. The change from ICD-9 to ICD-10 relates to how providers exchange clinical information—medical diagnoses and inpatient procedures—with health plans in administrative transactions that drive the revenue process for patients with insurance. In other words, a hospital’s revenue is dependent on a successful ICD-10 transition for both the hospital and its insurance payers.

In a column in the Winter 2014 issue of the Journal of Healthcare Information Management (JHIM), WPC’s Larry Watkins discusses the right approach to working with health plans and cautions providers on what mistakes to avoid.

To learn more about engaging payers in the move to ICD-10, view the full column in the Journal of Healthcare Information Management online (HIMSS membership required), or contact WPC today.