ICD-10


Breaking News:  HR 4302, Section 212 Postpones ICD-10 Implementation! 

Despite CMS officials reiterating—on many occasions—that there will be no more delays on the Oct. 1, 2014 ICD-10 implementation date, President Obama signed HR 4302 into law on April 1. Section 212 of this legislation delays the implementation of ICD-10 until at least Oct. 1, 2015, perhaps later. 

The eyes of those within the health care industry look toward CMS to provide guidance and information; most importantly what the new implementation deadline will be. Many questions remain... so stay tuned!  We will keep you updated by posting the latest ICD-10 implementation news as it becomes available. 

ICD-10 Overview

ICD-10-CM will contain diagnostic codes used in all health care settings and will replace the existing 14,000 codes in ICD-9-CM Volumes 1 and 2 with 69,000 new codes. The increased number of codes is due to a higher level of code specificity in ICD-10, such as laterality, encounter description, routine vs. delayed healing and union vs. malunion information.

ICD-10-PCS will be used for inpatient procedure coding in the hospital setting. It replaces ICD-9-CM Volume 3 with 87,000 new codes.

Make sure you’re prepared! 

Creating an ICD-10 implementation plan and communicating early with vendors are crucial to a successful ICD-10 transition. CMS has created a road map on how to prepare for small, medium and/or large practice transitions, as well as a comprehensive list of questions to ask vendors.  

CMS Road to 10 Resources for Small Physician Practices

This website contains a plethora of resources as well as interactive tools that will create personal action plans for your practice. Explore all this website has to offer. Learn more.

In addition to the resources and interactive tools, Road to 10 offers a template library that contains Assessment and Question lists for diagnosis inventory and your vendors (i.e. technology, billing service, clearinghouse, and payer). Learn more.

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ICD-10 Training

The transition to ICD-10 will involve all aspects of medical practice and as such will require training for coding and billing staff as well physicians and other clinical staff and office staff.

The OMA has developed a comprehensive educational program that will provide targeted trainings at various stages of the ICD-10 implementation timeline, as well as newsletters, case studies and an ICD-10 hotline.

Learn more and register for live and on-demand ICD-10 workshops and webinars here.

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OMA Resources

OMA's ICD-10 E-mail Hotline will be postponed to closer align with the new implemenation date...check back here for updates!

The OMA's ICD-10 E-mail Hotline has been temporarily closed. Prior to the new implementation date, the E-mail Hotline will re-open closer to the new implementation deadline; more information will be posted as it becomes available. In the meantime, be sure to call the OMA with your questions.  Continue to check our ICD-10 webpage for the latest ICD-10 implementation news. 

OMA Member Benefits

The following fast, easy, and affordable Ready10 tools will help your practice ensure a successful transition to ICD-10:

  • The web-based Ready10™ Translator converts ICD-9 codes to more specific ICD-10 codes in seconds. This proprietary crosswalk tool is accessible from any computer and features multiple code lookups, bi-directional conversion, print capabilities, and the ability to save favorites and create flash cards to serve as documentation training tools for your entire staff.
  • The Ready10™ Basic delivers everything you need to prepare and manage your practice through the transition – all in one place. It’s a user-friendly, comprehensive step-by-step road map for the ICD-10 transition that works as a web-based “virtual consultant” and includes all the tools needed for a smooth transition.
  • The Ready10™ Pro includes everything from the Ready10 Basic package plus five hours of personalized, expert consulting, plus review of 50 charts to see how your current documentation practices stack up to ICD-10’s increased specificity. With the help of Ready10 Pro, your entire practice will be fully engaged and ready for the transition.

Learn more and order these valuable resources today at www.cpticdpros.com/OMA.

ICD-10 coding books from the AMA can help with your implementation and planning. Publications include the ICD-10-CM 2014: The Complete Official Draft Code Set, ICD-10-CM Mappings 2014 and Advanced Anatomy and Physiology for ICD-10-CM. OMA members receive a discounted rate. Order online at www.theOMA.org/store or contact Juia Kiggins at (503) 619-8000 or julia@theOMA.org for more information.

Managing Your Transition to ICD-10 Newsletter

This periodic OMA newsletter provides ICD-10 information including fact sheets, coding case studies, GEMS updates, preparation tips and hands-on exercises to assist in your practice's preparation.

Medicine In Oregon Magazine (ICD-10 articles)

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Additional Resources

AMA
DMAP
  • DMAP GEMS in Oregon Data
  • According to DMAP’s website, they expect to begin testing in early 2014.  Further, DMAP does not plan to support ICD-9 codes for dates of service after the ICD-10 compliance date, and they plan to closely follow communications from CMS on this.  For details, visit www.oregon.gov/oha/healthplan/Pages/providers.aspx and type "ICD-10" in the Search box. 
CMS
Noridian
Aetna
HealthNet
  • Log-in to the provider portal to access ICD-10 information within the website.
Humana
Regence
PacificSource
UHC

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