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Thursday, July 24, 2014

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ICD-10 Codes: What You Need to Know

 ICD-10 CodesWith the requirement to switch from ICD-9 codes to ICD-10 codes approaching, we thought it would be helpful to review what you need to know about this transition. Our partner Practice Director EHR is currently preparing their software for the conversion to ICD-10 codes.

  • ICD-9 is 30 years old, resulting in outdated and invalid terminology that is inconsistent with modern medical practices. The switch to ICD-10 codes is essential to the well-being of our nation’s health care system.
  • You are required to switch to ICD-10 codes if you are covered by HIPAA, regardless of whether or not you deal with Medicare.
  • Claims submitted prior to the compliance deadline of October 1, 2014 must use ICD-9 codes. After the compliance deadline, claims must use ICD-10 codes. Claims submitted with incorrect procedure coding cannot be processed.
  • You should expect to spend around 19 months of testing for ICD-10 codes, prior to the switch.
  • Like ICD-9 codes, ICD-10 codes will be updated every year. However, the switch from ICD-9 to ICD-10 is not a simple “update”. They have a completely different structure, which is why the compliance deadline is so important.

Check back next week for some valuable tips on how to prepare for the transition to ICD-10 codes and click here if you have questions on Practice Director EHR.

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Holly graduated from the University of Nebraska-Lincoln in 2005 with a Bachelor's Degree in English. After several years of copywriting and editing for various publications and marketing companies, she joined the Williams Group Team in 2012. Her responsibilities include creating content for and maintaining the company's blog and social media presence, as well as assisting with the creation and revision of content for the company's website, collateral pieces and content marketing initiatives. In her spare time, Holly enjoys spending time with her two children, Colin and Annabel.

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