ICD-10 IS Coming! Your First Steps

The ICD-10 delay that select physician groups tried to sneak into the “Cromnibus Bill” was not successful, so thus far ICD-10 will be implemented October 1, 2015. That means, for home health agencies, episodes beginning August 3rd will need to be dual coded—ICD-9 for the RAP and ICD-10 for the end of episode. Hospice benefit periods will also need special attention during the transition.

Selman-Holman, along with CoDR—Coding Done Right and CodePro University are your best choices to assist you with education, consulting and coding services so you can be ready for the transition to ICD-10.

Not quite ready to begin your education regarding ICD-10 coding? Available now: Great online education regarding home health and hospice documentation that will improve your chances of withstanding medical review, and anatomy and physiology to strengthen your clinicians’ understanding.

The following article is from the NAHC Report December 18, 2014 and provides information regarding the next end-to-end testing. Selman-Holman can assist  you so that you can test your claims early so that you will be ready for ICD-10.

Volunteer for ICD-10 End-to-End Testing in April — Forms Due January 9

During the week of April 26 through May1, 2015, a second sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The goal of end-to-end testing is to demonstrate that:

  • Providers and submitters are able to successfully submit claims containing ICD-10 codes to the Medicare Fee-For Service (FFS) claims systems
  • CMS software changes made to support ICD-10 result in appropriately adjudicated claims
  • Accurate remittance advices are produced

Approximately 850 volunteer submitters will be selected to participate in the April end-to-end testing. This nationwide sample will yield meaningful results, since CMS intends to select volunteers representing a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers. Note: Testers who are participating in the January testing are able to test again in April and July without re-applying.

To volunteer as a testing submitter:

  • Volunteer forms are available on your MAC website.
  • Completed volunteer forms are due January 9.
  • CMS will review applications and select the group of testing submitters.
  • By January 30, the MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing.

 For more information:

  • MLN Matters® Special Edition Article #SE1409, “Medicare FFS ICD-10 Testing Approach”
  • MLN Matters® Special Edition Article #SE1435, “FAQs – ICD-10 End-to-End Testing”



www.selmanholman.com for upcoming live sessions on ICD10 being scheduled now

www.codeprou.com for online education opportunities

www.codingdoneright.com for information on OASIS review, home health and hospice coding services

One Comment to “ICD-10 IS Coming! Your First Steps”

  1. Please help with my question for Home Health. If physical therapy writes and order to continue care Example: PT 2w3 for continued training with HEP effective 1/15/2015. Does it need this effective date? If not how would one know when the orders begin? If it is written on a Friday and the week begins on Sunday how would you know the orders begin on Sunday without and effective date.

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