ICD 10 implementation date is around the corner - just 3 weeks away. Along with the other elements of readiness, we all know that testing is one of the key aspects of implementation. Testing your system will allow you to gauge your readiness for your practice, and effectively help you in bridging any gaps.
CMS shares positive results from recent ICD 10 test week, conducted from July 20 through 24, 2015, in which healthcare providers, clearing houses and billing agencies participated. CMS was able to accommodate most volunteers, representing a broad cross-section of provider, claim, and submitter types.
The Centers for Medicare and Medicaid Services (CMS) reported an 87 percent acceptance rate for more than 29,000 test claims received. In this third successful testing, there were increased number of testers and test claims submitted, though the acceptance rate was similar to the testing in January and April earlier this year.
Out of less than 4000 test claims rejected, only 1.8 percent were due to an invalid ICD-10 diagnosis or procedure code, and 2.6 percent were due to invalid submission of an ICD-9 code. Additional rejections were from non-ICD-10 related errors, including incorrect NPI, Health Insurance Claim Number, Submitter ID, dates of service - outside the range valid for testing. Most rejections were due to non-ICD-10 related errors that would not occur during an actual claims process, and some were intentional errors to ensure claims get rejected, this is a process called "negative testing", CMS notes.
What Can You Do To Ace The ICD 10 Deadline?
- Utilize The Resources Provided By CMS: There are plenty of resources provided by CMS to transition to the new coding system smoothly. Check out the resources and tools offered here.
- Train Your Staff.
- Identify Top Codes: Identify top ICD-9 diagnosis codes that your practice sees most often. Target the top 25 to start and it will give you a better focus. Most likely you will not need to use 69000+codes of ICD10.
- Use As Specific Codes As Possible During Documentation.
- Complete The Final Round Of Testing.
- Start Pre-Charting to get the hang of ICD-10.
One Year Concession Period – To Sail Smoothly
Despite the positive outlook from testing and your own efforts to test your systems, as a practicing physician you could still be concerned for rejects or unforeseen issues. And this is where the ‘concession period’ issued by CMS comes to your rescue. In order to ensure health care providers have more time to adapt to the changes without negatively impacting their cash flow, CMS announced the one year grace period - essentially means that for one year past the deadline, physicians would still be reimbursed if wrong code is used in the claim as long as that erroneous code is in the ‘same broad family as the right one’. But, they will still need to use a valid ICD10 code as ICD9 codes will not be accepted by the system after Sep 30, 2015.
At PracticeForces, we are offering our clients seamless upgrade from ICD 9 to ICD 10. For physicians & practices that means, getting paid in time for their service with no worries of incorrect coding. And at NO extra cost. Should your practice need any help in becoming ICD 10 compliant, we will gladly help you. Call us today for a FREE consultation, 866-634-6327 or email us at [email protected]