Tuesday, September 29, 2015

ICD-10 Is Here!

Dianne De La Mare 

By the time you read this article, the long awaited ICD-10 implementation date will be here! On Thursday, Oct. 1, 2015, the national standardized coding system will go live, whether or not the federal government shuts down on Oct. 1, 2015, according to the Centers for Medicare & Medicaid Services (CMS). On Sept. 25, 2015, CMS released final information on ICD-10 titled “Coding Around the Compliance Date.”

 This document reminds providers “that if the date of service was before Oct. 1, 2015, [they] must submit the claim with the appropriate ICD-9 diagnosis code—even if [they] submit the claim on or after the ICD-10 compliance date.” It refers Medicare Fee-For-Service providers to more information available on the ICD-10-CM/PCS Frequently Asked Questions and reviews MLN Matters guidance (MLN Matters SE 1325, MLN Matters SE 1408 and MLN Matters 1410) that discuss claims that span the Oct. 1, 2015, implementation date. It reminds providers that CMS will not allow for dual processing of ICD-9 and ICD-10 after Oct. 1, 2105 (See CMS FAQ 12430). It also refers providers to CMS ICD-10 website and Roadto10.org for the latest news and resources to help with compliance, including the ICD-10 Quick Start Guide. Lastly, it reminds providers that they can sign up for CMS ICD-10 Email Updates.

Further, on Sept. 22, 2015, CMS updated its Clarifying Questions and Answers Related to the July 6, 2015, CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities. As reported previously, AHCA has been pressing CMS to allow SNF/NF “providers” the flexibilities it is allowing “practitioners.” AHCA is disappointed by the Q&A response to the new Question #17 that the flexibility will not be extended to “providers,” and although we appreciate that CMS highlights that the ICD-10 Ombudsman will “quickly identify and initiate resolution” of any “provider” issues that arise, we strongly disagree with the rationale provided. AHCA also has requested other guidance specific to SNF/NF ICD-10 implementation; but to date CMS has not provided us with any response. AHCA will continue to press on this issue.

To see AHCA ICD-10 resources go to http://www.ahcapublications.org/searchprods.asp.

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