ICD-10 Transition by Backoffice Pro: Boosting Client's Revenue by 40% with Seamless Implementation

The Overview

• Client Profile: A medical billing services firm based in Florida, established in 2005, catering to over 40 specialties across 20+ U.S. hospitals.
• Industry Domain: Medical Billing and Revenue Cycle Management.
• Challenges Faced: The impending ICD-10 transition posed a significant challenge due to the firm's lack of coding expertise and preparedness. The firm needed to ensure readiness for the ICD-10 transition within the grace period while managing real-world implementation and training constraints.
• Project Objective: To facilitate a seamless transition to the ICD-10 coding system while enhancing coding accuracy, reducing operational costs, and boosting revenue.

The Solution

Our approach was rooted in intensive preparation and rigorous weekly audits. Our expert trainers, proficient in ICD-9 and ICD-10, designed customized training sessions and implemented General Equivalence Mapping to enhance coding familiarity. We achieved effective change management by:

• Expert Trainers: Assembled a team of expert trainers with deep knowledge of both ICD-9 and ICD-10.
• Custom Training: Implemented customized training sessions and General Equivalence Mapping for enhanced code familiarity.
• Contract Coders: Hired external contract coders to maintain high focus and productivity during the transition.
• Weekly Audits: Conducted rigorous weekly audits to identify issues, implement corrective measures, and provide continuous education based on feedback.

The Outcome

Our tailored approach resulted in a successful ICD-10 transition, marked by:

• Seamless Transition: The new coding system was adopted effortlessly, maintaining high-quality standards.
• Enhanced Accuracy: The smooth ICD-10 conversion led to improved coding precision.
• Substantial Savings: The transition process resulted in significant cost reductions and operational efficiencies.
• 40% Revenue Increase: The client’s revenues surged by 40% within the first six months of implementation.