Several times a year, healthcare organizations must update multiple systems with ICD-10-CM code set changes by the CMS deadline.

The rate and volume of code and content updates released by the standards bodies have been steadily increasing, including ICD-10. In fact, the ICD-10 updates for 2023 include 1,176 new billable codes and 251 invalidated codes. Each release requires a series of steps to download, distribute, format, analyze, configure, review, and approve changes that affect operations across the organization.

For many healthcare organizations, annual code set updates are a manual, time-consuming process involving several teams and many, many spreadsheets. It is estimated that it takes one full-time engineer at least 10 hours to update one dataset with over 25 reference tables and/or value sets.

A healthcare terminology management solution can help

Wolters Kluwer partners with health systems and health plans to improve the process of updating ICD-10 code updates. A healthcare terminology and code set management solution can help:

  • Automate work that typically takes weeks to less than a day
  • Ensure accuracy with a single source of truth
  • Simplify data governance across the organization

Our team of clinical terminology experts understands how big of an undertaking it is to update ICD-10 codes across the healthcare ecosystem. Whether this year's updates were smooth sailing or a complete mess up until the last day, we can help improve the process for next year.

90% reduction in time for code set updates

A large, southern health plan needed help updating ICD-10 codes that feed their claims payment systems. In fact, the ICD-10 code updates released were too much for them to process, so they found themselves unable to pay claims come October 1.

After implementing Health Language solutions, they found a 90% reduction in time to process updates, cutting the code processing time from 6-8 weeks to just a few hours!

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