ICD 10 Readiness Products and Services
The Center for Medicare and Medicaid Services (CMS) has mandated a major change in its coding scheme with an effective date of October 1, 2014. Although the date is just under two years away the reality is that hospitals, providers and payer organizations have a great deal of work to do in preparation for this change. To address this seemingly daunting task we have focused our product offerings on the three following areas, please click below to learn more about each offering.
The change requires a conversion from the current International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code set to the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Procedure Coding System (ICD-10-PCS) code sets on October 1, 2014. A key aspect of the change is that the number of codes available will increase from approximately 17,000 to approximately 169,000. In addition to an increase in the number of codes, the code structure changes from five to seven alphanumeric characters. The changes are designed to provide more specificity and accuracy in the assignment of diagnoses and procedures in support of reporting better quality of care data and improved accuracy in billing and claims submissions. The switch from ICD-9 to ICD-10 affects all aspects of the healthcare business and requires a full analysis of policies, procedures and information systems that may be affected by this change. By any definition, it is a large project.
CMS orginally recommended beginning the ICD-10 Implementation planning process in 2010 so that system and process changes could take place in 2012 with testing to begin by second quarter 2013. With the announcement of a one year delay, most healthcare providers who were one to two years behind schedule have been given the chance to catch up. The time to start is now! In order to get the implementation process started, Complete Practice Resources is providing a suite of services and software solutions custom tailored to fit the needs of your organization.
The first step in preparing for the ICD-10 implementation date should focus on awareness. Knowing the regulatory background and requirements helps a practice to understand what is happening and why. This allows them to plan and execute, and helps keep vendors honest. It also helps dispel some of the myths surrounding the ICD-10 transition. In order to discuss the transition from ICD-9 to ICD-10, they first need to understand the "language" in which the new coding process communicates. The new ICD-10 code set brings a change in code structure as well as a higher level of specificity required for provider documentation.
The next steps involve assessing the impact of the changes to the physician practice or organization, indentifying key tasks and objectives and composing a plan of action. Each healthcare organization's processes and procedures, vendor software, and health insurance contracts will need to be evaluated for impact. An implementation plan needs to be drafted and execution initiated as quickly as possible.
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