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As part of H.R. 4302, the deadline for implementation of ICD-10 has been delayed until at least October 1, 2015.

 

ICD-10 News


ICD-10 Frequently Asked Questions

1) What is ICD-10?

ICD-10 is the set of codes used to report medical diagnoses and inpatient procedures that will be replacing ICD-9.  This is being done because ICD-9 is 30 years old and is no longer consistent with current medical practices.  Additionally, ICD-10 will allow for the reporting of much more specific data regarding medical conditions and hospital inpatient procedures.

2) Is this conversion required for workers’ compensation entities?

ICD-10 is only required by HIPPA-covered entities.  However, in order to stay consistent, most non-covered entities are choosing to migrate from ICD-9 to ICD-10.

3) When is the deadline for compliance?

October 1, 2015.

4) How will this affect me?

If you are electronically exchanging data files with Alpha Review, either exporting or importing, that contain ICD-9 codes, you will be contacted by Alpha Review to coordinate the modification, testing and implementation of new electronic files to accommodate the ICD-10 initiative.

5) Will I need to use both ICD-9 and ICD-10 codes during the transition?

Yes.  All claims prior to October 1, 2015 will still continue using ICD-9 codes while all claims for October 1, 2015 and after will be using the new ICD-10 codes.  Until all claims prior to October 1, 2015 are processed and completed, the use of both codes will be required.

6) What happens if I don’t switch to ICD-10?

If you choose not to switch to ICD-10, the result will be a lengthy delay and difficulty in processing claims.  Although workers’ compensation is not technically required to adopt ICD-10, most providers will be using ICD-10 codes as they are required to for other portions of their practice.  Also, depending on the jurisdiction, some states (i.e. Ohio, New York) have adopted ICD-10 for workers’ compensation as well.

If you have any additional questions regarding the transition to ICD-10 and how it may affect you, please contact us at (630) 305-8108 or info@alphareview.com.  Additional information regarding ICD-10 can be found at www.cms.gov.

 

 

 



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