Planning for ICD-10 Specialty Drug Success – Getting Started on Specialty Drug Trend Management

ICD-10 is upon us. There was no last ditch effort to block ICD-10 like there has been in the past. The transition from ICD-9 to ICD-10 has happened. As of today, technical implementation of ICD-10 was a success however, many people were not overly excited for ICD-10. Early feedback expressed concern about readiness training, some insurance companies weren’t accepting online referrals because of process delays, and representatives could not answer questions about ICD-10 when asked.1 ICD-10 Watch monitored early feedback as the change went live.  Some of the feedback was:
  • Some payors are not accepting ICD-10’s yet because they are not ready or their systems are offline updating.
  • Some physicians are estimating that an extra 60 to 80 minutes are needed for each 12 hour shift due to additional code look up.2
The ICD-10 transition may have be troublesome for some providers and payors, but our ICD-10 solution ReimbursementCodes can help smooth out any bumps by using our Drug Diagnosis Coding database. Drug Diagnosis Coding, or DDC, is our comprehensive ICD-10-CM database of clinical indications for FDA approved and compendia off-label sources for physician administered drugs. DDC is available as a subscription to which is a website lookup tool, useful for providers, or as a data file that can seamlessly integrate into their claims adjudcation systems. Join Randy Falkenrath on Wednesday, October 14th at 2 pm (EST) to learn more about post-ICD-10 implementation and how Drug Diagnosis Coding can help payors and providers leverage the hard work they’ve invested into reducing specialty drug trend. Register for the webinar here.

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