Do you know what the financial impact of the switch to ICD-10 will be on your hospital? The Wellington Group can answer that question and more with our ICD-10 Coding and Financial Impact Analysis for your hospital. Wellington will process your hospital’s most recent 12 months of inpatient claim (837) records to generate the coding and financial impact analysis. These reports contain a wealth of coding and financial information about your facilities challenges in moving to ICD-10.
- Financial impact analysis will be generated to determine the difference in reimbursement between ICD-9 and ICD-10.
- Claims mapping to multiple DRGs.
- Impact on facility Case Mix Index.
- Coding and financial impact for each service area.
- Coding effect on each physician’s claims and reporting by physician.
- ICD-9 to ICD-10 PCS coding requirements by physician.
- Over 20 reports included.
- Each claims code mapping can be viewed.
- Executive PowerPoint presentation, ideal for summarizing findings to management.
- One hour conference call to review the report findings.
- Commercial, Medicaid and Medicare claims will be analyzed. Standard analysis groups and prices all claims using the MS-DRG methodology. Wellington can customize pricing of non-Medicare claims for an additional fee.
- Inpatient claims will be processed using:
- GEM (General Equivalence Mappings) file for ICD-9 and ICD-10
- ICD-10 Pilot Software Version 30.0 of the MS-DRG Grouper
- Wellington’s proprietary ICD-10 code mapping system
- MS-DRG Medicare Pricing
- Reporting also available for outpatient and physician claims.
Hospital Client Comment:"The level of detail and information was extremely valuable. Having the reports in Excel made them convenient to use. The results helped us target our resources and the PowerPoint presentation was useful in communicating our facility’s challenges to upper management. The cost was very reasonable compared to what we would have paid using other vendors."
Sample Reports
Case Mix Index Report
MS-DRG Change Report
Physician Report
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