Tag Archives: ICD10

How do you get physicians to buy into ICD-10?

Each phase is the prerequisite for the next. Acquiring physician “buy‐in” must be accomplished in order to proceed to the planning and implementation phases. Because many physicians don’t know what they need to know about ICD‐10 in order to implement, analyze, and make informed choices, most practices are currently in Phase One: Engaging and educating physicians and staff. Take the time to create the foundation for the awareness and education necessary to achieve transition success and ensures you know ICD‐10 and that it is an opportunity for your organization and not a predicament.

Write your boss a letter like this:

“Doctor, thank you for all you do. Thank you for taking such great care of your patients and for taking such great care of your staff. We appreciate you and will do whatever we can to ensure the success of our practice. You always said we could come to you if we had something really important to talk to you about. Well…this is really important.

As you know, we are talking about getting the practice ready for the ICD‐10 transition. You have committed budget to make sure we receive proper training. We are scheduling extra hours so we can have time to learn the new system. We are working with our IT vendors and business partners to make sure our software has been tested and ready to submit claims. We have made a good plan. Everything will be ready but we are concerned. Without you capturing the new documentation elements in order for us to be able to
submit a properly coded claim, all the planning, budget, and new technology will be wasted. All the training hours and time away from our daily duties will be for naught. You see, it all starts with you. If you don’t document, all the planning, training, and technology in the world can’t help us.

The new codes are SO specific, documentation elements you’ve never had to capture before must be recorded or we can’t submit a claim. Denied claims due to insufficient documentation and therefore unspecific codes will cause a rippling effect that means we have to chase you down in order to re‐submit. We are already so busy with our day‐to‐day duties it will be difficult to find time to do the extra work that would not have been necessary had you just recorded what was needed in the first place. I am asking you to do this for us
but mostly…this is for you. We want you to continue to be able to give amazing care to our patients and to us. We want you to continue to be successful. We want you to know we care enough to write this note to you in the first place.

So, Doc, we promise we’ll be ready. All we ask is this. Help us help you.”
– Letter written by CPTICDPros.com

ICD‐9 AND ICD‐10 Diagnosis Code Format and Differences

ICD‐9‐CM diagnosis codes vs ICD‐10‐CM diagnosis codes 3‐5 characters in length vs 3‐7 characters in length Approximately 14,000 codes vs Approximately 69,000 available codes First digit may be alpha (E or V) or numeric & Digits 2‐5 are numeric vs Digit one is alpha & Digits two and three are numeric & Digits 4‐7 areContinue Reading

Why do we need ICD-10?

ICD‐9‐CM is outdated, over 30 years old, and cannot adequately accommodate the dramatic advances in medicine and medical terminology. Many categories are full and not descriptive enough. Originally utilized for indexing purposes in the hospital inpatient setting, it was never intended to be part of the reimbursement process. An effective coding system needs to be:Continue Reading

The ICD-10-CM Foundation and Background

Definition of Terms In order to be able to discuss the transition from ICD‐9‐CM to ICD10‐CM, you first need to understand the “language” in which the new coding process communicates. Following are terms you need to know. Important Terms for ICD-10 Covered Entity: Providers, payers and clearinghouses who conduct specific administrative transactions electronically. EDI: ElectronicContinue Reading

ICD-10 is delayed another year…

Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced Monday, April 9th, a proposed rule that would establish a unique health plan identifier under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The proposed rule would implement several administrative simplification provisions of the Affordable Care Act. The proposed changes would saveContinue Reading