HIMSS has launched the ICD-10 Transition Step-by-Step Guide, an interactive tool aimed at assisting healthcare providers who have not completed the transition to the ICD-10 code set for submitting claims to the Centers for Medicare and Medicaid Services (CMS) and other payers.
CMS set an October 1 deadline for ICD-10 implementation. Claims submitted after this date with ICD-9 codes will not be reimbursed, having a potentially adverse impact on provider cash flow. Developed by the HIMSS ICD-10 Task Force and incorporated into the HIMSS ICD-10 Playbook, the guide assists providers that don’t have ICD-10 in place, or who have ICD-10 in place but are still having difficulty receiving reimbursements.
“While we expect most providers to be ready by October 1, many have pushed conversion to ICD-10 right up to the deadline,” task force chair Dr. Bonnie Sunday said prior to the deadline. “The guide will guide them to quick and practical solutions if problems occur.”
The guide displays three possible scenarios for providers: A) Need Assistance Processing ICD-10 Claims, B) ICD-10 Claims Sent to Payers, but Not Receiving Reimbursement and C) Claim Files Processed by Payer, but Reimbursement Amounts Not Matching Previous Amounts for Similar Procedures.
Once a provider identifies a scenario, the guide walks the user through short- and long-term solution options, with links to relevant content and resources. For providers with ICD-10 systems in place, there is a walkthrough for the testing process and for troubleshooting rejected claims or incorrect reimbursements.
The guide complements other resources contained in the HIMSS ICD-10 Playbook, such as the Post October 1, 2015 and Contingency Planning sections. Over the next several weeks, HIMSS plans to communicate timely information about challenges organizations are experiencing with the ICD-10 transition, along with suggested mitigation strategies or resolutions, through HIMSS Business Edge newsletter articles, website content and blog posts.
HIMSS is a nonprofit organization focused on information technology (IT) in healthcare. For more information, visit himss.org
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Photo courtesy of: HIMSS
Originally Published On: health-information.advanceweb.com
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