The Smart Medical Practice

Dr. Mark Pleatman, MD on the Implementation of ICD-10


Implementation of ICD-10Dr. Mark Pleatman is a general surgeon who specializes in minimally invasive general and bariatric surgery.

A graduate of Haverford College, Dr. Pleatman received his M.D. degree from the University Of Cincinnati College Of Medicine and completed his residency in General Surgery at Saint Louis University Hospital. In addition, he completed a fellowship in Surgical Endoscopy at Mount Sinai Medical Center in Cleveland, Ohio.

He’s certified by the American Board of Surgery and a Fellow of the American College of Surgeons.

We recently checked in with Dr. Pleatman to get his thoughts on the implementation ICD-10 and how it’s affected his practice. Here’s what he had to say:

 

It’s been seven months since ICD-10. Has it been effective?

We use TotalMD for billing. We purchased an new version that included the ICD-10 codes. There have been no glitches in our billing. Our claims have been paid. It has been a non-issue for us.

 

There were many predictions that the transition to ICD-10 would result in delayed payments and other issues. Has the transition to ICD-10 been more or less turbulent than you expected?

Again, we’ve had no problems.

 

Do you have any stories about your transition to ICD-10? (Billing issues, patient issues, etc.)

Our story is boring – everything has been fine.

 

Can you list one advantage and one disadvantage of ICD-10 so far?

I didn’t like having to purchase a new set of codes for the billing system, but we haven’t had any issues. It took a while to get used to the new codes, but it wasn’t a problem.

 

What insurance payers seem to be the most prepared for ICD-10?

We haven’t had any problems getting paid, so I would guess that they were all prepared.

 

If you could say anything to Medicare, what would you say?

Our biggest problem with Medicare has nothing to do with ICD-10, but in communicating with them. They need to have more live people that we can talk with.

 

Are there any procedures you can bill under ICD-10 that you couldn’t bill under ICD-9?

No. We can provide more specific codes for the procedures we perform, but that’s about it.

 

How has your medical practice trained staff for ICD-10? Do you have any lessons you can share with our readers?

My biller attended several classes, and also spoke with billers in other offices that do the same thing as we do. Our software vendor also helped in the transition.

 

Does ICD-10 ultimately benefit the patient? Why or why not?

I suppose it will help everyone in the long run, since insurance databases are used for research of outcomes.

 

In the end, do you think ICD-10 will be an improvement for your practice? Why or why not?

I think it is just something to get used to but otherwise neither good nor bad.

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