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Monday, 10 August 2015

ICD-10 Coming Soon, Are You Ready?

The October 1, 2015 deadline for complying with the ICD-10 nomenclature is fast approaching. After years of delays, the mandate to use these diagnostic codes is pushing the entire medical system to retrain providers and support staff as well as convert EHR and billing software to the new method.

ClinicTracker makes transition to ICD10 easier.

HIPAA will require providers, healthcare clearinghouses, and payers to convert to ICD-10 for billing. The ICD-10 code reflects advances in medicine and uses more current medical terminology. The expanded code format also provides more specific information about the diagnosis. “The ICD-10 code set is also more flexible for expansion and including new technologies and diagnoses,” the American Medical Association (AMA) says.

After 30 years using earlier versions of ICD and DSM-based codes, many organizations are understandably apprehensive about the conversion. The changeover represents a wholesale shift in the language everyone uses to communicate diagnostic information. Many questions also remain about how to implement the system and how quickly insurance companies will forward reimbursements.

Agencies that use ClinicTracker are way ahead of the curve because the program has long been updated to manage the move to ICD-10. The software provides a seamless transition since users enter diagnoses via a Diagnosis Assignment form that they can access throughout the patient record. This intuitive interface requires little training to learn the new method and codes.
Behavioral healthcare agencies that have implemented ClinicTracker have had the ability to enter DSM-5 codes for almost two years. Since DSM-5 correlates with both ICD-9 and ICD-10, users who have already converted to DSM-5 are prepared for the changeover. In fact, the system automatically uses ICD-9 on billing claims before October 1 and ICD-10 after that date. Users who have avoided upgrading to DSM-5 will have to do so prior to the deadline.

Delay changeover at your own risk. On October 1, insurers will stop accepting ICD-9 codes and accept only ICD-10 codes. Providers may face fines if they do not comply with the change.
The United States is one of the last industrialized countries to use ICD‐10, even though the World Health Organization endorsed it in 1990. The international adoption of ICD‐10 should facilitate data comparisons to track disease and treatment data; it may also decrease the need for claim supporting documentation, as it includes severity indicators (and morbidity details) within each code.

The shift to ICD-10 provides a good reason to review DSM changes. Publication of the DSM-5 in May 2013 spurred unusually strong criticism and controversy. ClinicTracker users can review those issues, master the differences between DSM-IV and DSM-5, and learn more about how the new diagnostic categories will affect their clinical work. A collaboration with the Zur Institute allows access to this online CE course at a reduced cost. Click here for more information on the reduced-cost course with Zur Institute.

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