Feel free to contact Medical Office Software at 954-315-9100 for more information.

The implementation of ICD10’s is nearly here.  The date for compliancy is January 1, 2012. 

Due to the age of the Administrator product, your office may be unable to fulfill the requirements for billing.  Currently MOS has an updated Practice Management system that is also a fully compliant EMR. 

Medical Office Software, Inc., will continue to support your product, but we feel compelled to advise you that the Administrator product will not have ICD-10 capabilities. 

 

Date Compliance Step
January 1, 2010 Payers and providers should begin internal testing of Version 5010 standards for electronic claims
December 31, 2010 Internal testing of Version 5010 must be complete to achieve Level I Version 5010 compliance
January 1, 2011 •   Payers and providers should begin external testing of Version 5010 for electronic claims
•   CMS begins accepting Version 5010 claims
•    Version 4010 claims continue to be accepted
December 31, 2011 External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance
January 1, 2012 •     All electronic claims must use Version 5010
•     Version 4010 claims are no longer accepted
October 1, 2013 •     Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures
•     CPT codes will continue to be used for outpatient services

 

Have questions? You may find some answers in the following FAQ section:

Grab the following Basics of the 5010 from the CMS website here:
https://www.cms.gov/ICD10/Downloads/w5010BasicsFctSht.pdf

Quick Links:

 

 

 What can I do to prepare for ICD-10-CM?

Be certain that your current software is able to accommodate this new update.  If your practice has not considered changing to an inclusive system, please consider our product.  This EHR system is a patient-centric system; it includes your PM, Claims and Billing module, E-prescribe, and Patient EMR, and has additional interfaces for labs and equipment. MOS is able to provide you with all the tools to meet Meaningful Use and be eligible to secure the stimulus rebate now being offered by the Federal Government.  Do not delay.  Call for additional information and to schedule a demo.  Get onboard; do not let the ship sail without you.

 

When will ICD-10-CM and ICD-10-PCS be implemented?

The Department of Health and Human Services (HHS) announced on August 15, 2008, a long-awaited proposed regulation that would replace the ICD-9-CM code sets now used to report health care diagnoses and procedures with greatly expanded ICD-10-CM (diagnosis) and ICD-10-PCS (hospital procedure) code sets. In a separately proposed regulation, HHS has proposed adopting the updated X12 standard, Version 5010, and the National Council for Prescription Drug Programs standard, Version D.0, for electronic transactions, such as health care claims. Version 5010 is essential to use of the ICD-10 codes.

View both regulations >>

The Centers for Medicare and Medicaid Services (CMS) announced in January that ICD-10-CM will be implemented into the HIPAA mandated code set on Oct. 1, 2013. The American Academy of Professional Coders (AAPC) lobbied successfully to delay implementation beyond its initial 2010 proposed date, and more recently to delay a proposed 2011 date, believing that it would create undue hardships in the industry, falling so immediately on the heels of other significant regulatory changes.

 

How is ICD-10-CM different from our current system?

In many ways, ICD-10-CM is quite similar to ICD-9-CM. The guidelines, conventions, and rules are very similar. The organization of the codes is very similar. Anyone who is qualified to code ICD-9-CM should be able to easily make the transition to coding ICD-10-CM.

Many improvements have been made to coding in ICD-10-CM. For example, a single code can be found to report a disease and its current manifestation (i.e., type II diabetes with diabetic retinopathy). In fracture care, the code differentiates an encounter for an initial fracture; follow-up of fracture healing normally; follow-up with fracture in malunion or nonunion; or follow-up for late effects of a fracture. Likewise, the trimester is designated in obstetrical codes.

While much has been said about the huge increase in the number of codes under ICD-10-CM, some of this growth is due to laterality. While an ICD-9-CM code may identify a condition of, for example, the ovary, the parallel ICD-10-CM code identifies four codes: unspecified ovary, right ovary, left ovary, or bilateral condition of the ovaries.

The big differences between the two systems are differences that will affect information technology and software at your practice. Here’s a chart showing the differences:

Issue

ICD-9-CM

ICD-10-CM

Volume of codes

Approximately 13,600

Approximately 69,000

Composition of codes

Mostly numeric, with E and V codes alphanumeric. Valid codes of three, four, or five digits.

All codes are alphanumeric, beginning with a letter and with a mix of numbers and letters thereafter. Valid codes may have three, four, five, six or seven digits.

Duplication of code sets

Currently, only ICD-9-CM codes are required.  No mapping is necessary.

For a period of up to two years, systems will need to access both ICD-9-CM codes and ICD-10-CM codes as the country transitions from ICD-9-CM to ICD-10-CM. Mapping will be necessary so that equivalent codes can be found for issues of disease tracking, medical necessity edits and outcomes studies.

 

Feel free to contact us at 954-315-9100 for more information.

 

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