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On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. ICD-10 will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPPA), not just those who submit claims to Medicare or Medicaid. Claims with ICD-9 codes for services provided on or after the October 1, 2015 compliance deadline cannot be paid.
ICD-10 will help providers more completely and accurately tell the clinical story of the patient, increasing the accuracy of care decisions across the continuum, Medicare claims and reimbursement.

What is different about ICD.10?
The ICD.10 system consists of over 68,000 codes, compared to approximately 13,000 ICD-9 codes. ICD-10 differs from ICD-9 in its organization and structure, code composition, and level of detail. Many of the new codes are related to the laterality of the body part. For example, these new codes specify right knee, left knee, or bilateral knees. More specific codes will lead to increased patient safety and better outcomes. The number of payer denials may be decreased, since more information can be provided about a patient visit through coding that conveys medical necessity for the billed service.
How will we prepare for the transition?

The HTS transition plan

Proactive Medical Review will be offering training this Spring to prepare your teams for the transition from ICD-9 to ICD-10. A series of transition focused webinars will be provided on rehabilitation coding and using the Rehab Optima coding features under the new system. In addition, HTS is working with Rehab Optima to provide a testing period during which both ICD.9 and ICD.10 codes will be used well in advance of the transition due date.
Assistance for the facility transition
Proactive is also planning regional 2 day CE workshops for facility staff with coding responsibilities to assist them in making the transition in their clinical, MDS and billing departments. Registration will open January 5th for these sessions and additional information will be shared with facility administration in December on specific information.

ICD.10 TRAINING SESSION DATES:

• February 17-18, 2015
Louisville, KY

• February 24-25, 2015
Bowling Green, KY

• March 3-4, 2015
Richmond, KY

• March 17-18, 2015
Evansville, IN

• March 24-25, 2015
Indianapolis, IN

• April 7-8, 2015
Ft. Wayne, IN

ICD.10 TRAINING SESSION DATES:

• February 17-18, 2015
Louisville, KY

• February 24-25, 2015
Bowling Green, KY

• March 3-4, 2015
Richmond, KY

• March 17-18, 2015
Evansville, IN

• March 24-25, 2015
Indianapolis, IN

• April 7-8, 2015
Ft. Wayne, IN