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October is here and that means ICD-10 is too

by Cisco Perin | Oct 01, 2015
The deadline to start using ICD-10 codes is here and that means all services provided by HIPAA-covered entities need to be coded properly or not be paid. Health Integrated has worked to see that it is a seamless transition for its health plan clients and will be carefully monitoring data flows.

The Oct. 1, 2015 deadline to activate ICD-10 CM/PCS coding PCS (International Classification of Diseases, 10th Edition, Clinical Modification/ Procedure Coding System) is here! Unlike prior mandates in other years, there have been only minimal legislative challenges to this deadline and there are not any further delays expected for this mandate.

So if you’ve been in a foot race to be able to code for events like “Struck by a Turtle” (W5922XA) or Struck by a Sea Lion (W5612XA),  now you have the tools to do that ;-)  All in all, the industry is likening this to Y2K. There has been a lot of speculation as to the impact and Health Integrated is ready. The key to our approach has been based on the realization that  we need to be prepared for both ICD-9 and ICD-10.

Health Integrated began its initial preparation well over a year ago and we stand poised to receive and manage this new data type. We are anticipating a slow ramp-up adoption across health care and are prepared to handle both data types. Our approach has been multifaceted and  includes:

  • Readiness to accept and process client files bearing the new ICD-10 codes
  • Updating our logic and algorithms for patient program identification and stratification
  • Validation of reporting requirements to reflect changes for client application of new codes
  • Specific program application readiness for ICD-10
  • Internal and external education and communication about ICD-10

It is important to remember the use of ICD-10 codes is not optional and the U.S. government mandates that claims with ICD-9 codes for services provided by HIPAA-covered entities on or after the compliance deadline cannot be paid. Health Integrated’s employees have been working extremely hard over the past six to eight weeks, juggling multiple competing work priorities, to ensure our ICD-10 readiness remains seamless for our clients, with no interruption in our professional services to them.

Health Integrated will be carefully monitoring data flows beginning Oct. 1 and throughout the month and transition.


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