2. Heidi Jannenga PT, MPT, ATC/L
WebPT COO and Co-Founder
Mike Manheimer
WebPT Marketing Director
3. Delay of Game: Congress Votes to
Push Back ICD-10 Deadline
• Go-live date moves from October 1, 2014, to
October 1, 2015 (at the earliest)
• Provision for the delay was part of the
Sustainable Growth Rate “fix”
• Estimated cost of the delay: $1 billion to
$6.6 billion.
4. What You Need to Know Now About ICD-10
1. ICD-10 applies to all HIPAA-covered entities.
2. ICD-10 consists of two parts: ICD-10-CM and ICD-10-PCS
3. ICD-9 and ICD-10 differ big time.
4. Crosswalking is difficult.
5. The transition is necessary.
6. Time is still of the essence.
5. Strategy for Attacking ICD-10
1. Accept the change: Today
2. Designate a lead (or a team): Within the next three months
3. Make a plan: Within the next six months
4. Start training: Within the next year
5. Test, test, test, and test some more: Next year
6. Your ICD-10 Checklist
• Compile educational resources
• Assess your current diagnosis coding processes
• Pinpoint ways ICD-10 will affect your practice
• Ensure all external partners will be ready
• Assign specific tasks and deadlines
• Establish a budget
• Get your finances in order
7. How to Test Internally
Before you test, determine:
• Who in your clinic touches your codes (billers, front office
personnel, clinical staff, etc.)
• What ICD-9 codes you use most frequently and their ICD-10
equivalents
• Where and how your staff locate correct ICD-9 codes and where
and how they’ll locate ICD-10 ones
• Whether your coding processes will still make sense after the
codes change
8. How to Test Internally
1. Test that your staff can competently use the new
codes
a. Practice dual-coding
2. Test that each redesigned process or workflow
actually works
a. Review and tweak your current processes
9. How to Test Externally
Proper external testing will help you:
1. Verify that your practice can submit, receive, and
process data containing ICD-10 codes.
2. Understand the impact that clearinghouse and payer
policies will have on transactions.
3. Identify and address specific problems.
10. How to Test Externally
External testing plan:
1. Identify (and prioritize) the stakeholders with
whom you need to test.
2. Submit test data to your clearinghouse, billing
service, and/or payers.
3. Review test results for the data you submitted.
4. Update your processes based on the results of
your tests.