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ICD-10 – Implementation Date – October 1, 2015

What is ICD-10?
ICD-10 is a diagnostic coding system implemented by the World Health Organization (WHO) in 1993 to replace ICD-9, which was developed by WHO in the 1970s. ICD-10 is currently in use in almost every country. The United States is scheduled to implement ICD-10 on October 1, 2015.

Everyone who is covered by HIPAA must make the transition — not just those who submit Medicare and Medicaid claims — so it is important to prepare.

What must you do to prepare?
PrimeWest Health encourages providers to continue ICD-10 preparations.

  • Identify your current systems and work processes that use ICD-9 codes.
    • ICD-10 codes will replace the current ICD-9 codes.
  • Talk with your practice management system vendors about their preparation for ICD-10.
    • What updates are they planning to your system?
    • When do they expect to have it ready to be installed?
    • Are upgrades included as part of your agreement?
    • Is customer support and training provided?
  • Identify potential changes to workflows and business processes, such as the following:
    • Clinical documentation
    • Encounter forms
    • Quality and public health reporting
  • Assess staff training needs.
    • Look into training opportunities available online and through professional associations.
    • Coding professionals recommend training for coders take place approximately 6 – 9 months prior to the compliance date.
  • Conduct test transactions using ICD-10 codes with payers and clearinghouses.
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Nuts & Bolts

PrimeWest Health’s reimbursement system allows for population of both the billing address and payment address. The billing address must be a physical address, not a PO box.

A 9-digit zip code is required for the billing address and the service facility address.

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