IN THE OFFICE ICD-10 Delay A Time to Continue Planning and to Refresh Prior Knowledge By Juli Koprowski, Practice Advocacy Specialist, Oregon Medical Association DUE TO THE DELAY of the ICD-10 implementation to October 1, 2015, we all have more time to devote to preparedness. As practices, health plans, and clearinghouses continue to ramp up for the launch, CMS has been busy creating helpful ICD-10 resources. CMS’ Road to 10 (www.roadto10.org) is specifically designed with the small physician practice in mind. It provides a wide variety of resources including webcasts, physician perspectives, customizable templates, and an action plan that can be completely customized to your office. This is also a great time to refresh the knowledge that you’ve learned previously. The Oregon Medical Association is providing another opportunity to participate in our ICD-10 education. This education is being offered online and on-demand so that it fits with your busy schedule. Let’s take a look at some common myths that CMS has busted in their Myths and Facts article.1 MYTH: ICD-10-CM/PCS implementation planning should be undertaken with the assumption that the Department of Health and Human Services (HHS) will grant an extension beyond the October 1, 2015, compliance date. FACT: All Health Insurance Portability and Accountability Act (HIPAA)-covered entities must implement the new code sets with dates of service, or date of discharge for inpatients, that occur on or after October 1, 2015. HHS has no plans to extend the compliance date for implementation of ICD-10-CM/PCS; therefore, covered entities should plan to complete the steps required to implement ICD-10-CM/PCS on October 1, 2015. MYTH: Unnecessarily detailed medical record documentation will be required when ICD-10-CM/PCS is implemented. FACT: As with ICD-9-CM, ICD-10- CM/PCS codes should be based on medical record documentation. While documentation supporting accurate and specific codes will result in higher-quality data, nonspecific codes are still available for use when documentation doesn’t support a higher level of specificity. As demonstrated by the American Hospital Association/American Health Information Management Association field testing study, much of the detail contained in ICD-10-CM is already in medical record documentation, but is not currently needed for ICD-9-CM coding. Early bird price available for OMA education events— including ICD-10 events. Learn more about OMA’s ICD-10 on-demand webinars and register at theOMA.inreachce.com. 1. Department of Health And Human Services, Centers for Medicare and Medicaid Services, Medicare Learning Network. “ICD-10-CM/PCS MYTHS AND FACTS”, ICN 902143. Accessed: ww.cms.gov/Medicare/Coding/ICD10/ downloads/ICD10MythsandFacts.pdf w ww.theOMA.org Winter 2015 23
OMA Winter 2015 Magazine
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