"I have had the privilege of working with HMI for twenty plus years and have always found their representatives to be professional and knowledgeable in all aspects of acute hospital and professional service charge master management. Additionally ongoing coding related reviews and billing reviews and associated report backs are timely and positively impact appropriate revenue capture - billing - and compliance." "I recommend HMI to be considered when choosing a partner to assist with the...
Greg Yost, PFS Director Princeton Community Hospital, Princeton WV
We have utilized HMI Corp. since 2002 for consultation services related to chargemaster review and updates and have always found their services to be professional of nature and valuable to our organization.
David Alley, CFO Athens Regional Medical Center, Athens TN
We recently transitioned to HMI from another Physician Documentation & Coding Compliance Review vendor, and the entire experience has been positive. HMI has been extremely accommodating throughout the process and has demonstrated a willingness to adapt to our workflows, leading to a seamless transition. We’ve received positive feedback from our providers about their experiences with HMI, and the Coding Hotline has been an invaluable resource. For anyone looking for a new consulting partner,...
Dawn Chrismer, RHIT, CHC, CCS-P Director of Business Services/Compliance Officer Heritage Medical Associates, Nashville, TN
HMI has been a very reliable resource for Princeton Community Hospital for many, many years. I have had the opportunity to work with many staff members and have found all to be reliable and courteous in every aspect. The staff is very flexible and provides Princeton Community with the support and coding stability needed. Thank you for the sometime short notices for coding coverage when unexpected situations arise with our staff. We thank you for your coding expertise as well as your...
Denise Moore, CCS Coding Manager Princeton Community Hospital
I’ve worked with HMI employing them to conduct audits of physician documentation and coding. They have consistently produced quality work in a very timely fashion with reports that were well written and easy to understand. Communication has always been prompt and effective. I have such confidence in their work that, over the years, I brought them from my prior location to my current location. I would recommend HMI to anyone in need of accurate and timely coding or auditing.
Robert C. Kay, RRT, MBA, MJ, CHC, CPC-A Chief Compliance Officer St. Christopher\'s Hospital for Children
“I have had the privilege of working with HMI over the past 10+ years with two different health systems. I have used HMI for hospital CDM and compliance reviews as well as physician coding reviews and education. I always receive top-notch service from the HMI team and I appreciate working with a partner that is always honest and responsive to my questions and needs. I have worked with Mary Quimby and Vickie Faler and both have proven to be very knowledgeable, accessible, and...
Rodney Adams, MMCH, Associate Administrator of Finance Williamson Medical Center
HMI has been a great partner with MedStar Washington Hospital Center now for many years. We can always count on them to provide us with support on small to very large projects. HMI delivers consistent and honest results and additionally provides very thoughtful & targeted education to our physicians.
Purvi Jani AVP Reporting and Revenue Cycle MedStar Washington Hospital Center
Having worked in healthcare revenue cycle for more than three decades, I have partnered with many vendors. My vendor of choice for CDM Review, E/M Coding Compliance and Physician Education is without a doubt HMI, LLC. Mary Quimby and Vickie Faler are not only subject matter experts, they are true partners providing that extra level of service that sets them far above others in the industry. I have worked with them for 15+ years in 5 different acute facilities, and multi-specialty physician...
MaryAnn Hastings, CPMA, Director Revenue Cycle Operations, Galen Medical Group
We have been working with HMI since 2010 and have expanded the use of their services to include CDM and ED Coding. The HMI coding staff is extremely knowledgeable and has become an integral part of our coding team. Our consultant Beth never shies away from any CDM project that comes her way. We appreciate the professionalism and teamwork we have with HMI.
Janet Willis, Director of Revenue Management, Monadnock Community Hospital
We have utilized HMI’s for chargemaster compliance and billing reviews for nearly 10-years. We have always found that their staff to be knowledgeable, resourceful and professional in all services provided to our organization.
Jessica Mayfield, Manager Revenue Management University of Missouri Health Care
ICD-11 Medical Coding: How to Prepare your Healthcare Organization for ICD-11
ICD-11 Medical Coding: How to Prepare your Healthcare Organization for ICD-11
Healthcare organizations in the United States and around the world use the ICD-10 medical coding standard. Starting in 2022, however, organizations will switch to the ICD-11 standard.
ICD-11 has four times as many codes as ICD-10. That means new challenges for healthcare providers – and new problems with missed revenue, coding errors, and denied claims.
Keep reading to discover some of the significant changes in ICD-11 medical coding, including how your organization can prepare for the release of ICD-11.
What is ICD-11?
The World Health Organization has created the ICD-10 medical coding standard, which is currently in use in the United States and around the world. It’s the tenth version of the International Classification of Disease (ICD) codes.
In May 2019, WHO member states voted to implement the 11th version of that system: ICD-11. As healthcare changes and new diagnoses and treatments emerge, WHO regularly needs to update its coding system.
ICD-11 is scheduled to be implemented in all WHO member states, including the United States, in January 2022.
ICD-11 marks a significant increase in medical coding challenges. While ICD-10 had just 10,000 codes, ICD-11 has over 40,000.
Complicating matters further is that healthcare organizations in the United States use a modified version of ICD-10 that has 140,000+ codes, including 70,000 codes for diagnoses and 70,000+ codes for treatments.
In other words, ICD-11 is expected to introduce significant coding challenges for healthcare organizations in the United States.
Top 4 Ways to Prepare Your Healthcare Organization for ICD-11 Medical Coding
Healthcare organizations in the United States already struggle with ICD-10 coding challenges. Organizations lose revenue, sacrifice patient care, and face insurance denials, among other issues. Across the country, organizations lose billions to coding challenges every year.
With the launch of ICD-11, organizations will face new coding challenges. Smart healthcare organizations are already preparing. Here are some steps to help your organization get started.
1) Become familiar with new ICD-11 codes and chapters
ICD-11 has thousands of new codes and chapters. Many of these codes and chapters have not been seen in previous versions, and they’re totally unfamiliar even to experienced medical coders.
There’s a new code for work burnout, for example. Burnout appears in the ICD-11 section on problems related to employment or unemployment. The goal of adding this code is to make physician burnout a thing of the past.
ICD-11 defines physician burnout as:
• Feelings of energy depletion or exhaustion
• Increased mental distance or feelings of negativism or cynicism related to one’s job
• Reduced professional efficacy
Issues like time constraints, technology, and regulations increase the rate of physician burnout.
This code may seem straightforward to implement, but it’s more complicated than organizations realize. As AMA explains, organizations need to differentiate professional burnout from adjustment disorder, anxiety disorders, and mood disorders. Organizations also need to use this classification exclusively for professional burnout – not burnout in other areas of one’s life.
This is just one example of how ICD-11 will change the way organizations handle various challenges. Smart organizations are familiarizing themselves with these new codes and chapters today to avoid surprises in the future.
2) Update EHR and revenue cycle management software
To prepare for ICD-11, organizations need to ensure they have the latest versions of EHR and revenue cycle management software.
Inevitably, during the switch to ICD-11, some organizations will get stuck using older versions of software. This will introduce significant coding challenges and missed revenue opportunities, among many other issues.
Ensure your EHR and revenue cycle management software is updated and optimized to the new changes to ensure a smooth transition process.
3) Hire someone to oversee ICD-11 implementation
Some organizations are hiring leaders to oversee the implementation of ICD-11. These leaders self-assess the organization for coding discipline. They oversee training efforts in the leadup to January 2022. They lead educational initiatives for the new codes and challenges of ICD-11.
Ultimately, organizations that start preparing for ICD-11 today will be better equipped to handle these challenges than their competitors – and that means better organizational efficiency moving forward.
4) Hire a medical coding specialist
ICD-11 can be overwhelming – especially for organizations that lack medical coding leaders.
Many organizations have begun to hire medical coding specialists to prepare for the implementation of ICD-11.
A good medical coding specialist can optimize revenue cycle management, reduce coding errors, and enhance patient care, among other benefits. Even months before ICD-11 is implemented, medical coding specialists can recommend actionable changes that improve the efficiency of your organization.
Medical coding specialists are experts at ICD-10 and ICD-11. It’s their job to understand the unique challenges of ICD-11. They know the medical coding challenges faced by organizations, and they know the changes organizations need to make to optimize efficiency during the shift.
How HMI Helps with ICD-11 Medical Coding
Contact HMI, LLC to hire a contract medical coding specialist today.
HMI, LLC has a proven reputation for solving complex organizational challenges. We’ve helped organizations deal with ICD-10 coding challenges – and challenges related to the upcoming launch of ICD-11, among many other coding challenges.
Optimize your revenue cycle today by solving your organization’s coding challenges. Hire HMI, LLC and discover how your organization can improve and prepare for ICD-11 medical coding.