Saint Francis Health Care Partners

ICD-10

Alert: The new ICD-10 compliance date is: OCTOBER 1, 2015

President Obama signed HR 4302 on April 1, 2014 that applied yet another patch to the sustainable growth rate (SGR) formula.  This bill also delayed the implementation of ICD-10 until October 1, 2015.

Why change to ICD-10?

The transition to ICD-10 is occurring because ICD-9 produces limited data about patients’ medical conditions and hospital inpatient procedures. ICD-9 is 30 years old, has outdated terms, and is inconsistent with current medical practice. Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full.

ICD-10 codes allow for greater specificity and exactness in describing a patient’s diagnosis and in classifying procedures. ICD-10 will also accommodate newly developed diagnoses and procedures, innovations in technology and treatment, performance-based payment systems and more accurate billing. ICD-10 coding will allow more precise methods of detecting fraud.

The continued use of ICD-9 would not allow us to improve the quality of care being provided. The need to enhance clinical decision making, track public health issues, identify fraud and abuse, design payment system to ensure services are paid appropriately would be unattainable goals without the move to ICD-10.

Are you curious as to the financial impact of ICD-10? HIMSS offers a FREE Financial Risk Calculator to help access the costs, click here. This self assessment is anonymous.  The accuracy of the responses to this survey will determine the relevance of your results.  At the end of the survey, you will receive an individual financial risk score which you will be able to compare to other profiles within your peer group.

CMS is encouraging the health care industry to take advantage of the numerous ICD-10 resources available for checking progress and any actions that may be needed because October 1, 2015 is quickly approaching.  

Intro Guide to ICD-10

The CMS Intro Guide to ICD-10 explains the essential aspects of ICD-10 and offers steps and resources for preparing for October 1, 2015.

Online ICD-10 Guide 

The Online ICD-10 Guide includes an overview of ICD-10 as well as information on how to transition to ICD-10 for small/medium practices, large practices, small hospitals, and payers.

Other ICD-10 Resources

Saint Francis Care ICD-10 Information Website features additional valuable resources, ICD-10 eLearning modules, and opportunities to ask questions.

CMS has created "Road to 10" to help you jump start the transition to ICD-10. Built with the help of small practice physicians, "Road to 10" is a no-cost tool that will help you get an overview of ICD-10, explore specialty references, and create your personal action plan. 

Other helpful tools available on the CMS ICD-10 website:

CMS, in collaboration with Medscape, has produced videos and articles that offer tips and advice on ICD-10, along with an opportunity for physicians to earn continuing medical education credits and nurses to earn continuing education credits. CMS has recently released two new Medscape videos:

Trade Association Resources

You can also reference resources from health care trade associations and medical societies. Many of these groups also host ICD-10 webinars and trainings that you can attend to get up to speed on ICD-10. Visit the ICD-10 Provider Resources web page to find a list of some organizations that offer ICD-10 resources, and check with any organizations to which you belong for members-only resources.

Saint Francis HealthCare Partners monthly ICD-10 publication:

September 2013

November/December 2013
January/February 2014 
March/April 2014
May/June 2014
August/September 2014
October/November 2014
December 2014/January 2015
February/March 2015