This guide outlines 5 steps health care professionals should take to prepare for ICD-10 by the October 1, 2015, compliance date. You can complete parts of different steps at the same time if that works best for your practice.You must use:
Obtain access to ICD-10 codes. The codes are available at ICD10coded.com, as well as from many other sources and in many formats, such as code books, CD/DVD and other digital media, practice management systems, electronic health record (EHR) products and mobile apps.
Decide roles your clearinghouses will play in your transition. Some providers who are not ready could benefit from contracting with a clearinghouse to submit claims.
Clearinghouses can help by
Clearinghouses cannot help you code in ICD-10 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.
Identify top codes. What ICD-9 diagnosis codes does your practice see most often? Target the top 25 to start. You might want to look at common diagnosis codes available from Road to 10 or medical specialty societies.
Using the documentation available, code current cases in ICD-10. Flag any cases where moredocumentation is needed.
Update hard-copy and electronic forms (e.g., superbills, CMS 1500 forms)
Call your vendors to confirm the ICD-10 readiness of your practice's systems
Verify that you can use your ICD-10-ready systems to:
Test your systems with partners like vendors, clearinghouses, billing services, and health plans; focus on those partners that you work with most often.
Medicare providers can conduct acknowledgement testing with their Medicare Administrative Contractors (MACs) until the Oct 1 compliance date to confirm that Medicare can accept your ICD-10 claims.
Explore alternate ways to submit claims to health plans if you think your systems might not be ready for ICD-10 by Oct 1.
For Medicare providers, options include: