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The ICD-10 Edition          
  
Greetings! 

The deadline for implementing the ICD-10 diagnostic coding set is October 1, 2015.  Industry experts predict this deadline is real, and there will not be another extension.  In this email find all you need to get on track with transitioning your practice.
Know the code
History of ICD-10
ICD-10-CM is the updated version of the ICD-9-CM code set currently used for coding diagnoses on all health care standard administrative transactions. The ICD-9 code set was developed by the World Health Organization (WHO) and  has been in widespread use since 1988. The WHO produced an updated version, ICD-10, in 1992. The ICD-10-CM code set expands diagnosis codes by a factor of five, enabling greater specificity in the coding of diagnoses.

All physicians, other health care providers, and health plans are required to use the ICD-10-CM code set as the standard code set for coding diagnoses on all HIPAA standard transactions on October 1, 2015.
Take a step towards ICD-10 transition
Step 1 Assess impact

Begin with the Painless ICD-10 webinar February 18 at 11AM. Diagnostic coding is used everywhere from the front desk  through the coding, billing and reporting process. Look at how diagnosis coding is used inside and outside of your office, and how that is communicated with labs, imaging, hospitals, PCP or specialist referrals. 


Armed with this information, you can plan.  If you have not yet begun to transition your practice to using ICD-10, below is a timeline for a medical practice just starting the process:

 

February - Assess the effects 

 

March - Begin to plan and seek resources

 

April - Create training programs

 

May - Discuss transition with vendors & payers

 

June - Explore your new systems internally

 

July - Fix any problems

 

August - Go for it! Expand to external use, and document and code using ICD-10.  Aim to practice the entire month of August so you can fix any problems by September

Click to Continue...

 
5 things you should do now
Step 2 Plan

Identify what needs to be done, by whom, and by when.  Click to Continue...  Denny Flint of Complete Practice Resources provided these five things you should do now to help you jumpstart your transition: 

1. Convert your top 20 ICD-9 codes to ICD-10
2. Create documentation training aids
3. Perform simple chart reviews
4. Collect answers to key vendor and payer questions
5. Develop your overall project strategy

Documentation is key
Step 3 Train
Start with this 60 minute on-demand webinar, where you will scrutinize the ICD-9 to ICD-10 code comparisons, uncover the necessary documentation clues using specific examples, and learn tips and tricks.  Click to continue...
  
More training resources available here
  

ICD-10 requires more specific details in documentation.  Start now by looking at your list of most often used codes from step 2.  Could your coding staff appropriately code in ICD-10 based on the information you currently supply? Begin documenting like you would for ICD-10 now.  How do you get to ICD-10 level documentation?  Practice!  Read Simple steps to improve clinical documentation here

By now, you need answers
Step 4 Discuss
When are your payers accepting ICD-10 codes?  When do your vendors require them?  How does your staff feel about using them?  Are your providers documenting appropriately?
    
More information and resources available here
Test your new processes
Step 5 Explore & Fix
Implement your revised procedures and forms.  Test pilot everything within your office to identify and fix what needs to work better.   
More information and resources available here
Practice makes perfect
Step 6 
With your newfound knowledge and revised office procedures and forms now it is time to forge ahead.  Use your new systems and skills to practice as much as you can before the end of September.  
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Anatomy of the Code

There are significant differences in the structure of an ICD-10 CM code versus an ICD-9 CM code.

 

Read the Code of the Week

 

  The first digit of an ICD-10 CM code is a letter. Each chapter is assigned an alpha prefix.  The letters "o" and "i" are not used to avoid confusion with zero and one.

 

The second digit is always a number.

 

The third through seventh digits can be alpha OR numeric.  

  Click to Continue...

 

The first three digits designate the category of diagnosis.  The next three communicate etiology, anatomic site, severity, and other clinical details.

 

The seventh digit is the one with the most ramifications.  Click to Continue... 

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