And that’s how it should be.
As a practice, whether you are ready or gearing up to meet the ICD 10 deadline, your focus should be to not rely on the concessions.
Healthcare industry has been abuzz with the discussions on ICD 10 for quite some time now and its final implementation date is less than 60 days away at October 1, 2015. And with so much talk over the years and, getting prepared, ideally physicians & their practice should be ready with the new coding system. In a lot of cases, your billing company might be ready with the upgrade, taking away part of the hassle.
We all know ICD 10 coding system is here to stay. We recently published our Top 10 Insights Into ICD 10 Implementation-if you missed out read it here. In fact, with the transition, the Medicare claims processing systems will NOT have the capability to accept ICD-9 codes for services rendered by physicians/medical practitioners after September 30, 2015, nor will they be able to accept claims for both ICD-9 and ICD-10 codes. Knowing this, there are two scenarios that a practitioner or, physician could face -
IF YOU ARE STILL NOT READY, the following concession deal will offer temporary respite. But, important thing is to start taking steps to upgrade your systems now-we have provided the steps below. If you feel your practice does not have enough support staff, don’t shy away from looking at an option to outsource. Here is the concessions deal as announced by AMA President –
“ICD 10 implementation is set to begin on October 1, and it is imperative that physician practices take steps beforehand to be ready,” said AMA President Steven J. Stack, MD. “We appreciate that CMS is adopting policies to ease the transition to ICD-10 in response to physicians’ concerns that inadvertent coding errors or system glitches during the transition to ICD-10 may result in audits, claims denials, and penalties under various Medicare reporting programs. The actions CMS is initiating today can help to mitigate potential problems. We will continue to work with the administration in the weeks and months ahead to make sure the transition is as smooth as possible.”
This essentially means that for one year past the Oct. 1, 2015 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.’
IF YOU ARE READY, its good news!
If you are on the path to make the necessary changes, check off the simple steps below over the next few weeks and get yourself 100% ready. And you won’t need the concessions deal.
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 see 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
- Comlete The Final Round Of Testing
- Make use of and complete final round of Medicare ened-to-end testing for providers.
- Participate in medicare Acknowledgement testing for providers through September 30th.
At Practice Forces, 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 firstname.lastname@example.org.