ICD-10

 


HHS Finalizes Rule for ICD-10 Implementation Delay

The Secretary of the Department of Health and Human Services (HHS), Kathleen Sebelius, announced on August 24th that HHS has made final the proposed one year delay in ICD-10 implementation from October 1, 2013, to October 1, 2014. Make sure to register now for the September 6th “ICD-10: What's the Big Deal? What You Need to Know and Do Now” to find out how the final rule will impact your practice. 

On April 17, 2012, a proposed rule that would delay the compliance date for ICD-10 from Oct. 1, 2013 to Oct. 1, 2014 was posted to the Federal Register. At the time, CMS and HHS said that the change in the compliance date would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition among all industry segments. 

The ICD-10 compliance date change is part of a final rule developed by CMS's Office of E-Health Standards and Services that also adopts a standard for a unique health plan identifier; adopts a data element that would serve as an "other entity" identifier; and adds a National Provider Identifier requirement.

A related fact sheet that outlines the background of the ICD-10 compliance date and highlights provisions of the proposed rule and standards compliance date is available by clicking here

Prepare now! 

Creating an ICD-10 implementation plan and communication early with vendors are crucial to a succesful ICD-10 transition. For a road map on how to prepare for small, medium and/or large practice transitions, click here. CMS also put together a comprhensove list of questions to ask vendors, which can be found here.

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 increase in the 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.

ICD-10 Training

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

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.

To register for ICD-10 workshops and webinars click here.

To purchase on demand ICD-10 webinars click here.


Managing Your Transition to ICD-10

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

Issue No. 1 - September 8, 2011

Issue No. 2 - September 28, 2011

Issue No. 3 - January 9, 2012

Issue No. 4 - August 3, 2012


Other resources:

CMS: www.cms.gov/ICD10/

Noridian: www.noridianmedicare.com/p-medb/news/docs/icd10_update.html

AMA: www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/hipaahealth-insurance-portability-accountability-act/transaction-code-set-standards/icd10-code-set.page