As of October 1, 2015, everyone covered by the Health Insurance Portability Accountability Act (HIPAA) will be required to transition from ICD-9 to ICD-10.It is critical to the financial sustainability of each Health Center to understand and effectively use the ICD-10 coding classification system.
The U.S. health care system currently relies on a set of codes, referred to as ICD-9, to report diagnoses across all types of care and inpatient procedures. Introduced in the late 1970s, the ICD-9 code set will replace ICD-10, effective October 1, 2015.
This is a major change requiring time, effort, and preparation. All Health Centers will be extensively impacted by the transition to ICD-10, which offers the structure that allows for greater specificity, code expansion, and contains updated terminology necessary for current medical practices. Clinicians and all billing/coding staff will need to learn when and how to use the new code set to submit accurate claims and ensure reimbursement stays on track. In addition to reimbursement, the transition to ICD-10 will affect encounter documentation, reporting and spur changes to information technology systems (PM, EHR Vendors, Clearinghouses, Payers, etc.).
The Centers for Medicare and Medicaid Services has published an ICD-10 Transition: Introduction Fact Sheet and an ICD-10 Billing and Payment: Frequently Asked Questions guide. These compact guides will help start you on your journey to ICD-10.
Are you ready?
MPCA has developed the Michigan Health Center ICD-10 Learning Community in three critical phases to mirror key steps in the ICD-10 transition process. The Ready Phase is designed to assist project leaders and staff in handling the processes necessary to get ICD-10 in place. The Set Phase introduces the ICD-10 code set and provides training for clinicians and staff to work effectively with ICD-10. The Go Phase is all about implementation, starting in the weeks leading up to implementation, and extending through six months after implementation. The Go Phase will focus on go-live and post-implementation support and troubleshooting. The learning community began in January 2014 and will continue through implementation with a series of ICD-10 Learning Community events. A schedule for the series of events will be announced soon. For more information please contact Jean Troop.
Housed within the MPCA website is a wealth of educational and
resource materials on a variety of topics relevant to Michigan Health
Centers and the delivery of primary and preventive care to medically
underserved areas and populations. To access ICD-10 implementation
resources you may search the website by keyword using the search field
at the top of this page, or you may search the ICD-10 Resources webpage.