On April 1, 2014 President Obama signed HR 4302 into law. Section 212 of this legislation brought about the current delay of the implementation of ICD-10 until at least Oct. 1, 2015.
On July 31, 2014 HHS issued a rule finalizing October 1, 2105 as the new compliance date. According to the July 31, 2014, CMS release, "..the U.S. Department of Health and Human Services issued a rule today finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on October 1, 2015."
CMS announces its testing opportunities for 2015
According to revised, July 31, 2014, edition of CMS' MLN Matters provides the revised dates and details regarding there "four-pronged approach". The four-pronged testing approach includes 1)CMS internal testing, 2)CMS Beta testing of downloadable tools, 3) acknowlegement testing and 4) end-to-end testing.
Acknowlegement testing: Providers, clearinghouses and others are welcome to submit acknowlegment test claims now up to October 1, 2015. Additionally, each MAC will highlight acknowledgement testing by providing 3 separate but dedicated weeks in which real-time help desk support will be provided during those weeks. The acknowledgement testing weeks will occur in: November 2014, March 2015, and June 205. Refer to Noridian's website for more information about this testing.Remember, acknowlegement test claims will not be adjudicated but rather an 277A acknowlegment will be returned to you confirming that the test claim was accepted or rejected.
End-to-end testing: The July 31, 2014 revised edition of CMS' MLN Matters also indicates that 3 separate end-to-end testing opportunities will occur prior to the October 1, 2015 implementation date. CMS will provide additional details about the end-to-end testing at a later date.
Make sure you keep the momentum going!
The postponed ICD-10 implementation date gives everyone within the health care industry an opportunity to optimize their ICD-10 implementation plan. We now have the opportunity to focus more on things like improving clinical documentation, training of coders, increased ICD-10 coding optimization within our EHR's, as well as testing with payers.
Creating an ICD-10 implementation plan and communicating with more of your 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 (e.g. technology, billing service, clearinghouse, and payer). Learn more.
The transition to ICD-10 will involve all aspects of the 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.
Free Road to 10 Training Coming to Roseburg and Portland
To help your practice make the best use of this time, CMS will offer free ICD-10 training, Road to 10: A Small Physician Practice’s Route to ICD-10, in Oregon this fall.
- Portland: Oct. 20, 9:00 - 11:00 am; OMEF Event Center
- Roseburg: Oct. 21, 9:00 - 11:00 am; Community Cancer Center
Designed for physicians and practice managers, educational sessions will offer background and strategies on ICD-10 implementation to help small physician practices understand the business imperative around implementing ICD-10. Read more about Road to 10.
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.
- Issue No. 12 - June 23, 2014
Maintiaining Your Training Momentum
- Issue No. 11 - March 26, 2014
Workflows & Support Tools
- Issue No. 10 - February 19, 2014
ICD-10, 9, 8, 7 Months and Counting!
- Issue No. 9 - January 17, 2014
ICD-10 Countdown: Focus on Education
- Issue No. 8 - December 12, 2013
ICD-10 Testing and Documentation
- Issue No. 7 - November 7, 2013
Addressing the Documentation Gap to Support ICD-10-CM
- Issue No. 6 - September 12, 2013
ICD-10 Mapping and GEMS: new updates
- Issue No. 5 - March 20, 2013
Applying our 5010 lessons to ICD-10 preparation
- Issue No. 4 - August 3, 2012
The health care industry has not stopped preparing for ICD-10, have you?
- Issue No. 3 - January 9, 2012
Budgeting for ICD-10
- Issue No. 2 - September 28, 2011
ICD-10-CM: Impact to the Code Assignment Process
- Issue No. 1 - September 8, 2011
Medicine In Oregon Magazine (ICD-10 articles)
- ICD-10-CM and Unspecified Codes
By Carol Wintermute; Winter 2014
- The ICD-10 Deadline is Less than a Year Away. Will You Be Ready?
Ease your transition to ICD-10 with the Help of OMA resources; Fall 2013
- Things You Should Know about ICD-10
By Joy Conklin, interviewing Nancy Fisher; Summer 2013
- The Physicians Role in Better Health Information
By Joseph Nichols; Winter 2013
- New OMA Member Benefit Can Help with ICD-10
By Denny Flint; Spring 2013
- It’s Time to Get Moving on ICD-10
By Stanley Nachimson; Fall 2012
- Is Your Documentation Ready for ICD-10?
By Carol WIntermute; Summer 2011
- ICD-10 Web page
- AMA Preparation Tool: Assess Your Documentation in Preparation for ICD-10
- AMA Preparation Tool: Determine Your Training Needs for ICD-10
- AMA Preparation Tool: Talk To Your Vendor about ICD-10 Updates
- 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.
- ICD-10 Web page
- FAQs: ICD-10 Transition Basics
- CMS’ Provider Dedicated Resources Web page
- Introduction to ICD-10: A Guide for Providers (CMS eHealth University)
- ICD-10 Myths & Facts
- ICD-10-CM/PCS: The Next Generation of Coding
- Fact Sheet SE1325: Institutional Services Split Claims billing instructions
- MLN Connects Videos
- ICD-10 Coding Basics: Sue Bowman from the American Health Information Management Association (AHIMA) provides a basic introduction to ICD-10 coding, including similarities and differences from ICD-9; ICD-10 code structure; and coding process and examples.
- Log-in to the provider portal to access ICD-10 information within the website.