ICD CMS: ICD-10 News: Assess How ICD-10 Will Affect Your Practice

[Laureen]

News Updates | August 31, 2015

Get Ready Now: Assess How ICD-10 Will Affect Your Practice
With ICD-10 just 30 days away, now is the time to get ready. You can make sure your practice is prepared by following the ABCs of ICD-10:

• Assess how ICD-10 will affect your practice and make a plan
• Be sure your systems are ready
• Contact your vendors

Today, we’ll explore “A” – “Assess how ICD-10 will affect your practice.”



As part of assessing how ICD-10 affects your practice, you should find out if you need:

Access to ICD-10 codes – You can find codes from a variety of sources, including:

• Code books
• CD/DVD and other digital media
• Online (e.g., go to cms.gov/ICD10 and select “2016 ICD-10-CM and GEMS” to download 2016 Code Tables and Index)
• Practice management systems
• Electronic health record (EHR) products
• Free and low-cost smartphone apps
• CMS ICD-10 Code Lookup
• Coding Conversion Tool

Clearinghouse services – Some providers who are not ready could benefit from contracting with a clearinghouse to submit claims.

• Clearinghouses can help by:
  • Identifying problems that lead to claims being rejected
  • Providing guidance about how to fix rejected claims (e.g., more or different data need to be included)
• Clearinghouses cannot help you code in ICD-10 codes unless they offer third-party billing/coding services.

Clinical documentation and coding training

• Train staff on ICD-10 fundamentals using the wealth of free resources from CMS, which include the ICD-10 website, Road to 10, Email Updates, National Provider Calls, and webinars. Free resources are also available from:
  • Medical societies, health care professional associations
  • Hospitals, health systems, health plans, vendors
• Training for clinical staff—e.g., physicians, nurse practitioners, physician assistants, registered nurses—should focus on documentation, new coding concepts captured in ICD-10.
• Training for coding and administrative staff—e.g., coders, billers, practice managers—should focus on ICD-10 fundamentals.

New forms – It is crucial to update hard-copy and electronic forms (e.g., superbills, CMS 1500 forms).

Systems upgrades – Double check that you’ve identified all systems that use ICD codes and need upgrades (e.g., practice management systems, electronic health record (EHR) products).

• Call your vendors to confirm the ICD-10 readiness of your practice’s systems
• Confirm that the health plans, clearinghouses, and third-party billing services you work with are ICD-10 ready
• Ask vendors, health plans, clearinghouses, and third-party billers about testing opportunities
• Transition costs for small medical practices could be substantially lower than projected earlier:
  • Many EHR vendors are including ICD-10 in their systems or upgrades—at little or no cost to their customers
  • Software and systems costs for ICD-10 could be minimal for many providers

Keep Up to Date on ICD-10
Visit the CMS ICD-10 website and Roadto10.org for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Email Updates and follow us on Twitter.