Insurance news
House Committee in Favor of Oct. 1, 2015 for ICD-10 Deadline
Written by Editor   
Wednesday, December 31, 2014 04:42 PM

House Energy and Commerce Committee Chairman Fred Upton (R-MI) and House Rules Committee Chairman Pete Sessions (R-TX) issued a joint statement backing the Oct. 1, 2015 deadline for the ICD-10 transition. The statement is below: 

CMS Releases Video Outlining ICD-10 Basics
Written by Editor   
Wednesday, December 31, 2014 04:40 PM

The CMS attempts to answer some of those questions in a new video, "Coding for ICD-10-CM: More of the Basics," that reviews basic information over the new coding system set to be integrated October 2015.

The "Sixth and Seventh Character" of ICD-10 - What is it?
Written by Editor   
Wednesday, December 31, 2014 04:36 PM

By: Jill Foote, Insurance Quality Analyst III

The deadline for ICD-10 has been postponed until October 1, 2015 and the U.S. Department of Health and Human Services (HHS) has indicated that there will be no grace period for ICD-10 implementation. Now is the time to familiarize yourself with the "characters" that make up an ICD-10 code. 

Implementation of ICD-10-CM will provide a much more detailed description of the patient's condition. This new diagnosis coding "language" allows for comorbidities, etiology, causation, complications, manifestations, degree of functional impairment, detailed anatomic site, phase/stage of treatment, lateralization, localization, joint involvement, sequelae, and even age-related conditions. Our present ICD-9 system makes the provider do more work to communicate medical necessity to the payer.

ICD -10 is composed of codes using between 3 and 7 characters. A code meets ICD-10's highest specificity requirements by using all seven characters.  Like ICD-9, ICD-10 codes are invalid if they have not been coded to the highest level of specificity.

ACA Releases 2nd Edition ICD-10 Toolkit Featuring Updated Resources
Wednesday, December 31, 2014 04:34 PM

The American Chiropractic Association (ACA) has released a 2nd edition ICD-10 Toolkit to prepare doctors of chiropractic for a seamless transition to ICD-10 coding beginning Oct. 1, 2015.

Beginning Oct. 1, 2015, the ICD-9 codes currently used to describe diagnoses and treatment plans can no longer be used by HIPAA covered entities. The conversion to ICD-10 will enable U.S. health care providers to report greater specificity and clinical information. The new coding system includes updated health care terminology and provides higher quality data for processing claims and making clinical decisions. It may also enhance the ability to provide data that proves the effectiveness and positive outcomes achieved by chiropractic services.

Applying ICD-10 Codes to Injuries Demonstrated in “Home Alone"
Written by Editor   
Wednesday, December 31, 2014 04:30 PM

Demonstrating just how significantly different the ICD-10 coding will be from previously used ICD-9, this article instructs how the injuries incurred in the movie Home Alone might be coded using the new ICD-10-CM required to be used beginning in October 2015.  Are you ready for it?

It’s been 24 years since Kevin McCallister was accidentally left at home while the rest of his family went on vacation in the movie Home Alone. Poor little Kevin has to defend his family home when two con men try to rob it on Christmas Eve. Kevin outsmarts the idiotic burglars with booby traps which result in a multitude of injuries (with a couple insults added in). The coders certainly had their work cut out for them with those two (injuries have been coded in ICD-10-CM).

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