LT-061 Understanding ICD-10 Brochure Rev. 0

Understanding ICD-10 ICD-9 (codes used for medical diagnoses and inpatient procedures) will be replaced by ICD-10 codes on or after October 1, 2014. • Compliance Deadline - October 1, 2014 • ICD-10 does NOT affect CPT coding for outpatient procedures or physician services • Affects everyone covered by HIPAA • Medicaid will use ICD-10 for all services • You can NOT transition before October 1, 2014 • For more information go to www.cms.gov/ICD10Meredith Reynolds, SCP-PMDirector of Reimbursement & Physician Servicesphone 972.349.8812 fax [email protected]

Official CMA - Industry Resources for the ICD-10 Transistion Why ICD-10?www.cms.gov/ICD10 • ICD-10 offers greater specificity of diseases • ICD-9 is over 30 years old (very antiquated) • Offers streamlined and efficient billing system • Greater methods for fraud detectionPrepare for the transition to ICD-10• Establish team (project coordinator) and communication for internal staff (especially important for small practices)• Develop internal plan to identify all areas where ICD-9 are currently used• Identify internal documents that require change (superbills, encounter forms, billing systems, medical records, prior-authorizations, EHR templates, etc.)• Secure a budget that accounts for software upgrades/license costs, hardware and training during and after implementation, and risk mitigation.• Discuss with your payers, billing services, IT staff, etc. about their preparations and readiness