ICD-10: Prepare for Oct. 1, 2015
The International Classification of Diseases (ICD-10) Clinical Modifications (CM) and ICD-10 Procedure Coding Structure (PCS) are new medical code sets under HIPAA-AS and represent a fundamental overhaul to the current ICD-9 coding system. A federal mandate requires all HIPAA-covered entities adopt ICD-10 by Oct. 1, 2015. (Click here for general ICD-10 information)
“Here’s how to get started”.
Small-Medium Physician Practices: Build your action plan and jump start your transition to ICD-10. It’s simple and FREE. Visit the CMS tool at www.roadto10.org/ .
Large Physician Practices and Hospitals: Transition to ICD-10 now by accessing CMS’s ICD-10 Implementation Guides. Visit CMS at https://cms.gov/medicare/coding/icd10.
“Will your revenue stream continue after Oct. 1, 2015?”
Testing ICD-10 is one of the more important success factors for managing the potential risk of business disruptions and achieving ICD-10 compliance. Be sure you register NOW to test with us – even if you are not quite ready to test now, schedule to test with us. Testing capacity is limited and demand is anticipated to exceed capacity further into 2015. Do not delay. For more information about testing ICD-10 with us, please select the “Test ICD-10” icon located to the right.
Frequently Asked Questions
Click here for Florida Blue specific ICD-10 readiness FAQs.
What happens if I do not switch to ICD-10?
Providers can begin to prepare by taking the following steps NOW:
• Talk with your billing service, clearinghouse, or practice management software vendor NOW
• Identify ICD-9 (and presumably ICD-10) touch points in your systems and business processes
• Identify needs and resources, such as training, printing, etc.
An ICD-10 transition plan should take into account specific practice or organization needs, vendor readiness, and staff knowledge and training.
Providers should check with their billing service, clearinghouse, or practice management software vendor about their readiness plans.
Providers who handle billing and software development internally, should plan for medical records/coding, clinical, IT, and finance staff to coordinate on ICD-10 transition efforts.
Work together to make sure you’ll have what you need to be ready. A successful transition to ICD-10 will be vital to transforming our nation’s health care system and essential to maintaining business operations.
CMS has resources to help providers prepare for a smooth transition to ICD-10. Visit www.cms.gov/ICD10 to find out more. CMS will continue to add new tools and information to the site through the course of the transition.
Where can I find your latest ICD-10 Provider Pulse Survey Results?
Results to our 2013 ICD-10 Provider Pulse Survey are available in the Jan. 17, 2014 Open Line Friday provider teleconference presentation (here).
When is the ICD-10 compliance date?
On April 1, 2014, President Obama signed a bill into law which delays the mandated move from ICD-9 to ICD-10 code sets by one year. The bill prohibits CMS from "enforcing" the ICD-10 mandate prior to Oct. 1, 2015. Further regulatory guidance from CMS is forthcoming.
If I transition early to ICD-10, will CMS be able to process my claims?
The transition to ICD-10 is a major undertaking for providers, payers, and vendors. It will drive business and systems changes throughout the health care industry, from large national health plans to small provider offices, laboratories, medical testing centers, hospitals, and more. Plans need to devote staff time and financial resources to transition activities. The transition will go much more smoothly for organizations that plan ahead and prepare now. A successful transition to ICD-10 will be vital to transforming our nation's health care system and ensuring uninterrupted operations.