With ICD-10 just a couple weeks away, now is the time to get ready. You can make sure your practice is prepared by following the ABCs of ICD-10:
- Assess how ICD-10 will affect your practice and make a plan
- Be sure your systems are ready
- Contact your vendors
As part of assessing how ICD-10 affects your practice, you should find out if you need:
Access to ICD-10 codes – You can find codes from a variety of sources, including:
- Code books
- CD/DVD and other digital media
- Online (e.g., go to cms.gov/ICD10 and select “2016 ICD-10-CM and GEMS” to download 2016 Code Tables and Index)
- Practice management systems
- Electronic health record (EHR) products
- Free and low-cost smartphone apps
- CMS ICD-10 Code Lookup
- Coding Conversion Tool
Clearinghouse services – Some providers who are not ready could benefit from contracting with a clearinghouse to submit claims.
- Clearinghouses can help by:
? Identifying problems that lead to claims being rejected
? Providing guidance about how to fix rejected claims (e.g., more or different data need to be included)
- Clearinghouses cannot help you code in ICD-10 codes unless they offer third-party billing/coding services.
- Train staff on ICD-10 fundamentals using the wealth of free resources from CMS, which include the ICD-10 website, Road to 10, Email Updates, National Provider Calls, and webinars. Free resources are also available from:
? Medical societies, health care professional associations
? Hospitals, health systems, health plans, vendors
- Training for clinical staff—e.g., physicians, nurse practitioners, physician assistants, registered nurses—should focus on documentation, new coding concepts captured in ICD-10.
- Training for coding and administrative staff—e.g., coders, billers, practice managers— should focus on ICD-10 fundamentals.
Systems upgrades – Double check that you’ve identified all systems that use ICD codes and need upgrades (e.g., practice management systems, electronic health record (EHR) products).
- Call your vendors to confirm the ICD-10 readiness of your practice’s systems
- Confirm that the health plans, clearinghouses, and third-party billing services you work with are ICD-10 ready
- Ask vendors, health plans, clearinghouses, and third-party billers about testing opportunities
- Transition costs for small medical practices could be substantially lower than projected earlier:
? Many EHR vendors are including ICD-10 in their systems or upgrades—at little or no cost to their customers
? Software and systems costs for ICD-10 could be minimal for many providers
Keep Up to Date on ICD-10