The transition to the ICD-10 diagnosis coding set is officially scheduled for October 1, 2015. Despite previous delays in deployment, the Department of Health and Human Services has not given any reason to expect any further deferments. That means we are just a few months away from ICD-10.
The transition from the ICD-9 diagnosis code set to ICD-10 will be a major undertaking for DME suppliers and should not be taken lightly. If you have not considered how ICD-10 will impact your business, now is the time. The ICD-10 code set is significantly more robust than the current ICD-9 which means that many ICD-9 codes will not crosswalk directly to a single ICD-10 code. Where there is a one-to-many link, claims will require manual intervention to be assigned the appropriate ICD-10 code for processing.
Communicating with your billing software vendor is an integral part of a successful transition. Your vendor may have tips or tools that can assist you with the migration of your claims from one code set to the other. As you communicate with your software vendor here are a few key questions to consider:
- Will claims be cross-walked automatically by the vendor or will they require manual intervention by your staff?
- Will there be a protocol for scrubbing claims prior to submission to ensure that codes have been transitioned appropriately? If so, what will this process look like and what will be required of your staff to move these claims forward?
- Has the vendor participated successfully in the ICD-10 front-end and/or the end-to-end testing offered by CMS?
Keep in mind that CMS has implemented a hard cut off for the use of ICD-9 codes. This means that claims submitted with dates of service on and after October 1st containing ICD-9 codes will be returned as unprocessable. Claims that are not proactively identified and transitioned will stall revenue.
Overwhelmed with the transition? We can help with that.
MiraVista has put together a tool that will not only help you identify your most vulnerable codes, but it will also map them to the ICD-10 equivalent(s)…within minutes. Our programming team has created a tool, utilizing the General Equivalency Mappings, which will plug in exported active rental data from your billing software and provide you with:
- A list of your most popular ICD-9 codes so that you can educate your staff and referral sources.
- A classification for each code determining whether it is a one-to-one or one-to-many match.
- A mapping from each ICD-9 code to the ICD-10 equivalent(s).
- A list of the order numbers appended to each diagnosis code so that you can quickly identify which patients require intervention.
For more information on this service please contact us at email@example.com.