Are You Ready for ICD-10?
October 1st, 2015 Medicare will only accept claims (with a date of
service on or after October 1, 2015) if they have a valid ICD-10 code. Is your
lab ready to meet that directive?
Clinical laboratories are required to submit accurate and
complete diagnosis codes in electronic and paper claims to third party payers. ICD-10
introduces more than 100, 000 new diagnostic and procedure codes that will
impact diagnostic description and ultimately reimbursement. With ICD-10 comes greater
specificity, including age and gender related codes. Claims with insufficient
diagnosis coding can trigger denials, requiring both the lab and the provider
to invest labor and time to resolve and, very often, creating inconvenience for
the patient. It is imperative that the most specific ICD-10 code is provided to
avoid these scenarios.
has your lab done so far to prepare for ICD-10? Many organiazations have
mounted massive education campaigns for staff using material developed inhouse,
or by third parties including CMS itself (www.cms.gov/ICD10)
even labs that are very aggressive have to ensure that testing and care are nor
delayed by assuming too aggressive a stance in terms of not performing testing
until ICD-10 code has been attached to a test request. Some labs have developed
a crosswalk to more easily “translate” an ICD-9 code into the most appropriate
ICD-10 code as a last resort. This is a
strategy specifically recommended by American Clinical Laboratory Association
I am interested in hearing out your opinions of how laboratories
will be affected by ICD-10, your readiness and strategies that your lab is
using to meet this mandate.