Preparing for ICD-10: Delayed Again? What do we do now?
As you may have heard, The Centers for Medicare & Medicaid Services (CMS) has delayed the implementation of the ICD-10 Coding System for one year, from October 1, 2014 to October 1, 2015. CMS estimates the new delay in implementing the ICD-10 coding system will cost anywhere from $1.1 billion to over $6 billion. What should you do now?
If your organization was right where it needed to be for ICD-10 implementation when the delay was announced, make sure to continue to stay on track. If you were not on track or not ready at all, use this time to better prepare for the transition.
ICD-10-CM is a further development of ICD-9-CM, but with a new, enhanced format and far greater clinical specificity than in the current ICD-9-CM diagnosis coding system. To assign the correct diagnosis codes to properly capture the patient’s condition and support the services provided, this higher level of specificity requires an even greater degree of clinical understanding on the part of the coder.
Working with specialties can be a particular challenge for documenting and coding the conditions and services provided. What follows is a sample of how basic coding in the ICD-9-CM system will transition into basic coding in the new ICD-10-CM system. Included is a specialty example from cardiology with a few changes for ICD-10-CM. Remember, one of the best ways to prepare for ICD-10-CM is to make sure you are coding accurately in ICD-9-CM; Then you will only need to transition to the new system.
In addition, the importance of consistent, complete documentation in the medical record cannot be overemphasized.