ICD-10 Deadline: October 1, 2014

The implementation of ICD-10 is only 18 months away.  Transitioning to the expanded code set can be smooth and successful, but the planning phase should already be under way.  In accordance with The Centers of Medicare and Medicaid Services (CMS) issued implementation timelines, the following list offers a few examples of elements that should be in process, if not complete, depending on the size of your industry segment:

Planning, Communication, and Testing Phases, Level 1:

  • Clear understanding of the impact of ICD-10, identification of resources, and access to updated publications and tools with new regulation changes
  • Establishment of a project timeline including ICD-10 project team and plan, communication plan, project budget, and risk management plan
  • Identification of all trading partners including vendors, payers, and clearinghouses, along with the associated transactions
  • Monitoring of vendor and payer preparation activities
  • Establishment of communication with staff, vendors, payers
  • Assessment of vendor’s test plan and timeline
  • Analysis of required database, system, and hardware changes
  • Evaluation of staffing and training needs, including high-level training for test team
  • Reviewing, updating, and developing new standard operating procedures, procedural manuals, and workflows
  • Creation of new or updating of current business requirements

To access the official CMS ICD-10 implementation timelines go the following link: http://www.cms.gov/Medicare/Coding/ICD10/ICD-10ImplementationTimelines.html

The adoption of ICD-10 will impact providers, payers, clearinghouses, and billing services who are covered by Health Insurance Portability Accountability Act (HIPAA).  All services provided after the October 1, 2014 compliance deadline will not be paid if billed with the ICD-9 code set.  While the planning phase should already be initiated, there is still time to ensure a smooth transition and complete preparation for the future of coding.

HC Healthcare Consulting has extensive expertise in coding and billing compliance.  Our staff includes certified coders, consultants certified in healthcare compliance, and certified public accountants that are available to provide expert assistance with your ICD-10 implementation efforts, including physician and staff documentation and coding training.  We are also available to assist with your ongoing compliance needs.

DISCLAIMER:  This post contains only summary information and highlights; it should be read in conjunction with the full article or document provided as a link.  Any advice or recommendations given is general and specific questions should be directed to professional counsel.

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