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ICD-10 News Stream

CMS Launches ICD-10 Clinical Concepts Series for Six Major Specialties

Centers for Medicare & Medicaid Services (“CMS”) recently launched the ICD-10 Clinical Concepts Series to acclimate providers to ICD-10 diagnosis coding. The Series focuses on specialties and includes common codes, clinical documentation tips and clinical scenarios. At the current time, CMS has published a series for the following specialties:

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Congressional Hearing on ICD-10 Implementation

On February 11, 2015, the House Energy and Commerce Committee’s Health Subcommittee held a hearing on ICD-10 implementation. The Subcommittee heard testimony from seven industry stakeholder witnesses, six of whom testified in favor of maintaining the October 1, 2015 implementation date for ICD-10. The Centers for Medicare and Medicaid Services (CMS) was not represented on the witness panel.

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Four Things to Know About ICD-10 and Prior Authorization

Written by: 
Cheryl Toth

When most practices think about the shift from ICD-9 to ICD-10, they think of changes to physician documentation, diagnosis code selection, and software upgrades. But ICD-10 is going to have a big impact on the pre-authorization process too. Here's why, and what to do about it.

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Volunteer Form for Limited ICD-10 End to End Testing Available Now

Written by: 
WPS Medicare eNews

Change Request (CR) 8602 was created by CMS to allow for MACs to test with a limited number of providers and clearinghouses to ensure claims with ICD-10 codes can be processed from submission to remittance. You can access CR 8602 on the CMS website.

CMS defines successful end-to-end testing as being able to demonstrate that:

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ICD-10: So, What’s the Cost of Implementation?

Written by: 
Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC

Depending on the size of your practice or facility, ICD-10 budgeting requirements and reporting will vary. But one fact still remains: all practices must budget for ICD-10-CM implementation. Most physician-based practices utilize a cash-based accounting system, while larger facilities and hospital-owned clinics utilize accrual-based accounting. Either accounting system will require detailed attention and planning in order to implement ICD-10 successfully.

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How to create an ICD-10 budget

Written by: 
Carl Natale - ICD10Watch.com

An ICD-10 budget needs to include more than the cost of new software and ICD-10 training. There are many costs that may not be obvious.

The American Medical Association' (AMA) free educational resources is pretty light on budgeting. To get a pretty good picture of what you need to spend, download Navicure's handy budgeting spreadsheet.

Costs based on an impact analysis and discussions with healthcare vendors:

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How to assess the impact of ICD-10 implementation on a medical practice

Written by: 
Carl Natale - ICD10Watch.com

For the procrastinating physicians, it's time to figure out how ICD-10 coding will affect medical practices.

The American Medical Association (AMA) covers the assessment nicely as part of its free educational resources. I found some tips from the Centers for Medicare and Medicaid Services (CMS) and created a hybrid check list.

Start your assessments with:
List work processes and current electronic systems that use ICD-9 codes. The AMA suggests looking at:

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