Collections: ICD-10 Implementation Compliance

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Topic Collections: ICD-10 Implementation Compliance
Background All HIPAA-covered entities must implement the new ICD-10 code sets with dates of service, or date of discharge for inpatients, that occur on or after Oct. 1, 2015. Covered entities should plan to complete the steps required to implement ICD-10-CM/PCS on Oct. 1, 2015.
Regulating Body CMS
Compliance Date 10/1/2015
Consequences ICD-9 diagnosis codes cannot be used for services provided on or after October 1, 2015. Claims that do not use ICD-10 diagnosis codes cannot be processed for reimbursement.
Next Steps For practices who have not yet started the transition to ICD-10, below are the action steps: 1. Establish a transition team or ICD-10 project coordinator; 2. Develop a plan for making the transition; 3. Determine how ICD-10 will affect your practice; 4. Review how ICD-10 will affect clinical documentation requirements and EHR templates; 5. Communicate the plan, timeline, and changes to process to staff; 6. Develop a budget; 7. Talk to payers and business associates about their preparedness; and 8. Test.
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