HIMSS kicks off work on ICD-10 predictive model

Carl Natale
by Carl Natale

HIMSS said this week that a pilot group is currently testing an early version of what the group calls the ICD-10 Predictive Model – that healthcare organizations could use to quantify the risks and costs of the ICD-10 transition.

Not that payers or providers have a choice in the matter; ICD-10 is a federal mandate, of course, but HIMSS model should shed light on the financial impact of both adopting and ultimately using ICD-10, the group said.

[Related: CAC's tide rising with ICD-10. See also: Readers' top 5 ICD-10 cost concerns.]

The ICD-10 Predictive Model could be used, for instance, to answer these related questions: what kinds of costs will ICD-10 require? When will those costs be incurred? What steps can be taken to mitigate these costs and risks? And what effect will ICD-10 have on future revenue?

“Many healthcare providers are justifiably concerned about the costs and risks of transitioning to ICD-10. The implementation process requires significant coordination among multiple departments and vendors, while the ongoing use of ICD-10 threatens to slow the revenue cycle,” HIMSS explained in the article.

The model, created in Microsoft Excel, houses components such as a glossary describing the operations ICD-10 will impact, key default assumptions users can start with, and the ability to product custom 'what-if' scenarios. Another section can be used to estimate expenses and produce budgets.

HIMSS added that the model focuses on four areas: coding, revenue cycle, project management, and IT.

“The ICD-10 Task Force is working with a focus group to complete a second phase of testing and will revise the model thereafter,” HIMSS added.

HIMSS explained that members will have access to the model later this year.

Editor's Note: Vote in our new reader poll! Will you use mobile phone apps to look up ICD-10 codes? We'll report the results and what they mean on ICD10Watch.