How ICD-11 is more comprehensive, accurate, and reliable than ICD-10, & making it easier to track trends in healthcare and identify the shortcomings.
Introduction
During the late 1800s, a physician from France named Jacques Bertillon was developing a method to create a consistent way of categorizing diseases. His goal was to simplify the process of monitoring and comparing mortality rates across various nations. In 1893, he released the inaugural version of the International Statistical Classification of Diseases, which is currently recognized as the International Classification of Diseases – ICD.
The first revision known as ICD-1, was published in 1900. It was developed by the International Statistical Institute (ISI) and was used by countries around the world to classify diseases and injuries. The ICD-1 was a relatively simple system, with only 10 chapters and 999 codes
Why is the Transition to ICD-11 Important for Medical Billing Outsourcing?
The World Health Organization (WHO) adopted the ICD-11, the eleventh revision of the International Classification of Diseases, at the 72nd World Health Assembly in May 2019. The ICD-11 came into effect on January 1, 2022.
The new system is designed to be more accurate and reliable than ICD-10 and helps to track trends in the healthcare industry where some of the needs were not being met. This is how the transition to ICD-11 will improve the quality of healthcare data
- ICD-11 is more comprehensive. It includes new codes for emerging diseases and conditions, such as Zika virus and chronic traumatic encephalopathy (CTE). ICD-11 also includes more detailed codes for mental health conditions and disabilities.
- ICD-11 includes codes for social determinants of health. These codes can be used to track the impact of social factors, such as poverty and discrimination, on health outcomes.
- ICD-11 includes codes for environmental health conditions. These codes can be used to track the impact of environmental factors, such as air pollution and water contamination, on health outcomes.
- ICD-11 includes codes for traditional medicine. These codes can be used to track the use of traditional medicine in healthcare settings.
- ICD-11 includes codes for sexual health conditions. These codes can be used to track the prevalence of sexual health conditions and to identify areas where prevention and treatment services are needed.
- ICD-11 is available in more languages. The new system is available in over 100 languages, which makes it easier for healthcare professionals around the world to use it.
What are the critical differences between ICD-10 and ICD-11 from medical billing outsourcing point of view?
There are several critical differences between ICD-10 and ICD-11. Some of the most notable differences include:
- Scope: ICD-11 is more comprehensive than ICD-10. It includes new codes for emerging diseases and conditions, such as Zika virus and chronic traumatic encephalopathy (CTE). ICD-11 also includes more detailed codes for mental health conditions and disabilities.
- Structure: ICD-11 has a new structure that is designed to be more user-friendly. The new structure is based on a hierarchical system that makes it easier to find the correct code.
- Coding: ICD-11 uses a new medical coding system that is based on natural language. This makes it easier to code conditions and to communicate about patient care.
- Data quality: ICD-11 is designed to improve the quality of healthcare data. The new system is more accurate and reliable than ICD-10. This will make it easier to track trends in health and disease and to identify areas where healthcare needs are not being met.
What are the challenges of medical billing outsourcing with respect to transitioning to ICD-11?
The transition to ICD-11 is a complex process, but it is essential for the future of medical billing outsourcing. There are several challenges that all healthcare organizations will need to overcome, including:
- The cost of updating coding systems
- It requires a significant investment of time and resources to train the staff
- The need to educate patients and providers about the new codes
- The potential for disruption to patient care
How can a medical billing outsourcing company prepare for the transition to ICD-11?
There are a number of steps that healthcare organizations can take to prepare for the transition to ICD-11. Some of the most important steps include:
- Start planning early
- Assess your current coding system and training needs
- Identify resources that can help you with the transition
- Develop a communication plan to educate patients and providers about the new codes
- Test the new system and make sure it is working properly
Conclusion
MedbillingExperts is a healthcare business process outsourcing (BPO) service provider that offers a wide range of services to physicians, billing companies, healthcare organizations, and insurance companies around the world. These services include:
- Pre-certification and insurance verification
- Patient demographic capture
- CPT and ICD coding
- Charge recording
- Claim submission
- Payment posting
MedbillingExperts is ICD-11-ready, which means we are up-to-date on medical billing outsourcing with the latest coding standards and have a team of experienced professionals who are dedicated to providing you with the highest quality of service. Contact us today to learn more about how we can help you improve your healthcare billing operations.
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