A huge thank you to ICD-10 experts Lisette Wright and Jonah Arter for their presentations this week, and a thank you to everyone who attended. For those who weren’t able to make it, the power points they used are attached, and click below for recordings of the webinars:
Feb 11: Lisette Wright recording of webinar
Feb 12: Jonah Arter recording of webinar
That brings us to some questions that the webinars brought up:
Do we have to purchase Ready-10?
No, you do not have to purchase anything – that is up to your discretion. Our intention with these webinars was 1) educational: to receive some free information about ICD-10 and understand some of what it will involve; and 2) we wanted to provide some options for additional resources, if you feel that you need them.
It’s completely up to you: we’ll show you what will be provided in PIMSY, and you can decide if you want to purchase additional tools for this transition (or not) based on your practice needs & wants. There are tons of ICD-10 consultants & tools out there – you are free to use whatever will work best for your practice.
If you are interested in pursuing products and/or services from the 2 options we highlighted, please contact them directly:
Will PIMSY be providing any kind of crosswalk like Ready-10?
Yes, PIMSY will be providing a very simple crosswalk that allows you to move back & forth between the code sets, similar to the crosswalk demonstrated by Jonah. However, it will not provide all of the additional information that a product like Ready-10 does.
Which codes will be available in PIMSY?
We will be providing all 4 sets of codes: we will leave the DSM-IV and ICD-9 codes in PIMSY for you to continue to use. You will need them for dates of service prior to 10/1/14 and for certain industries like workman’s comp. We will also be providing all of the new codes, both DSM-5 and ICD-10. Please note 4 important things:
- Most of the DSM-IV and ICD-9 codes are the same. They have been used interchangeably for the most part for the past decade. We will continue to leave those codes you see currently in PIMSY.
- Dates of service prior to 10/1/14 will still need to be coded in DSM-IV/ICD-9, regardless of when they are coded & billed.
- Dates of service after 10/1/14 must be billed in ICD-10 (unless it is for non-HIPAA entities like workman’s comp)
- While ICD is mandated by HIPAA for billing, some agencies, such as particular states, are also requiring DSM-5 as supporting documentation on the client’s chart.
This means that there will be a dual coding situation, both for ICD-9 and 10 and possibly for ICD/DSM. Depending on what your payers require, this dual coding may be over in a few months, or ongoing.
The first thing to do is contact your payers, see what they are requiring, and decide on a code conversion pathway for your practice. See the attached guide for details.
When will PIMSY be providing these codes?
PIMSY will be providing the ICD-10 codes (and conversion tools) in our March update, which will give you plenty of time to train your staff and start testing with your payers.
Should I start dual coding now?
After the March update, when the new codes are available in PIMSY, you can start learning the code conversions and begin dual coding on your clients to prepare for the switch – testing with your payers is the essential piece of a successful transition. Your payers will be set up to send ICD-9 codes, and you can change that when they are ready.
What will PIMSY do to help me through this transition?
We will continue to provide complimentary information to assist you with this transition, including a comprehensive checklist for vendors we’ll send over the next few weeks. However, please note that:
1) the bulk of our job will be completed with the March update, when we provide the new codes and tools.
2) the burden of responsibility is yours: it’s up to each practice to make sure they are ready.
We want you to read the information and materials provided and follow the steps outlined. We will continue to send periodic emails with helpful info and reminders for the action items. Please send us questions any time.
What about PQRS!?
While PQRS is not part of ICD-10, it is something to continue paying attention to if you accept Medicare Part B or railroad clients. Please note that the2013 claims-based reporting deadline is 2/28/14! See the attached for details.