MLN Connects: Countdown to ICD-10
If you cannot attend the August 27th webinar, the slides for the presentation have been posted online.
CMS Acting Administrator Andy Slavitt will open the call with a national implementation update. Then, Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) will join us with coding guidance and tips, along with updates from CMS.
To register for an MLN Connects Call, please visit the MLN Connects Event Registration website.
Results of ICD-10 Medicare FFS End-to-End Testing: July 20 through 24, 2015
Overall, participants in the July end-to-end testing week were able to successfully submit ICD-10 test claims and have them processed through Medicare billing systems. In some cases, testers may have intentionally included errors in their claims to make sure that the claim would be rejected, a process often referred to as “negative testing. The acceptance rate for July was similar to the rates in January and April, but with an increase in the number of testers and test claims submitted.
• 29,286 test claims received
• 25,646 test claims accepted
• 87% acceptance rate
• 1.8% of test claims were rejected due to invalid submission of ICD-10 diagnosis or procedure code
• 2.6% of test claims were rejected due to invalid submission of ICD-9 diagnosis or procedure code
The full details regarding the testing period are posted online.
Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities
CMS issued FAQs regarding the ICD-10 flexibility policies that the agency announced on July 6. The FAQs can be found at:
ICD-10 from a MAC Perspective
At the July 2015 ASCO/ASH Carrier Advisory Committee meeting, Dr. Arthur Lurvey of Noridian Healthcare gave a presentation on ICD-10. The presentation highlighted topics regarding to ICD-10 as it relates to Oncology/Hematology such as: available resources, LCD/NCD changes, and coding basics. Access the 2015 CAC meeting binder and go to the presentation “ICD-10 Transition Issues.”
ICD-9 codes can no longer be reported after October 1, 2015.
The International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10 CM/PCS) will fully replace the International Classification of Diseases, 9th Edition, Clinical Modification/Procedure Coding System (ICD-9) on October 1, 2015. Providers may no longer bill with ICD-9 codes after this date. Therefore, it is important to take the time to educate oneself about ICD-10 and determine what impact it will have on your practice. ASCO staff has provided resources to get you ready for the transition. Any questions regarding ICD-10 can be sent to ASCO staff at email@example.com.
Key Information Regarding ICD-10
Introduction to ICD-10
It has been mandated that all healthcare providers in the United States comply with the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10 CM/PCS) as of October 1, 2015.
- Why is ICD-10 being implemented?
- What are the differences between ICD-9 and ICD-10?
Read more about the basics of ICD-10.
Anatomy of an ICD-10 Code
There are significant differences in the structure of an ICD-10 CM code versus an ICD-9 CM code. Check out a few examples of the diagnoses, their corresponding ICD-10 CM code, and a description of what each digit means.
Finding an ICD-10 Code
Finding an ICD-10 Code is not much different than looking up an ICD-9 code, though you will be confronted by more choices. Read on for more information about finding the appropriate ICD-10 code.
General Equivalence Mappings (GEMS)
GEMS provide a temporary mechanism to link ICD-9 to ICD-10 and vice versa. Learn how to use GEMS to ease the transition into ICD-10.
Taking Control of the Transition to ICD-10
You don’t have to be a “victim” of ICD-10. This is a transition that can no doubt be daunting, but by planning ahead and taking the transition in pieces, it will seem less overwhelming. Several organizations offer free resources to assist with the transition.
Selecting the Appropriate ICD-10 Training Program (PDF)
Selecting the right training program for your practice is important. But how do you choose one with so many options out there. Read more.
Disclaimer: ASCO’s ICD-10 Resources provide general information about ICD-10 issues. ASCO staff are not coding and billing consultants.