Congress and the President recently passed the most recent version of the SGR bill at the beginning of April 2014, which contained added language that included a delay in the conversion of diagnosis codes from ICD-9 to ICD-10. The bill will delay the rollout until October 1, 2015. This extension to October 1, 2015 (Conversion Date) will not change Virginia Premier’s plans for preparation or testing of system platforms.
Work will also continue with external partners, providers, and trainers to ensure that everyone is ready once ICD-10 goes live. Virginia Premier has already spent many hours preparing to be compliant with the new ICD-10 guidelines before the October 1st deadline and will continue to solidify its efforts over the next 12 months. Thanks to everyone for their continued efforts on this project and the hard work that they have put in to keep the project moving forward.
The ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by the ICD-10 codes for services provided on or after the conversion date. Information specific to Virginia Premier’s process and stage in the transition will be updated on this site throughout the process.
If you have questions specific to Virginia Premier, please email us at ICD10Communications@vapremier.com.
About the Transition
The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Please note, the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
May 20, 2015: Providers, click here to learn how to handle claims during the cross-over period.
Frequently Asked Questions
No. The transition to ICD-10 does not affect CPT coding for outpatient procedures and physician services. Like ICD-9 procedure codes, ICD-10-PCS codes are for hospital inpatient procedures only.
- Establish a transition team or ICD-10 project coordinator, depending on the size of your organization, to lead the transition to ICD-10 for your organization. Develop a plan for making the transition to ICD-10; include a timeline that identifies tasks to be completed and crucial milestones/relationships, task owners, resources needed, and estimated start and end dates.
- Determine how ICD-10 will affect your organization. Start by reviewing how and where you currently use ICD-9 codes. Make sure you have accounted for the use of ICD-9 in authorizations/pre-certifications, physician orders, medical records, super bills/encounter forms, practice management and billing systems, and coding manuals.
- Review how ICD-10 will affect clinical documentation requirements and electronic health record (EHR) templates.
- Communicate the plan, timeline, and new system changes and processes to your organization, and ensure that leadership and staff understand the extent of the effort the ICD-10 transition requires.
- Secure a budget that accounts for software upgrades/software license costs, hardware procurement, staff training costs, revision of forms, work flow changes during and after implementation, and risk mitigation.
- Talk with your payers, billing and IT staff, and practice management system and/or EHR vendors about their preparations and readiness.
- Coordinate your ICD-10 transition plans among your trading partners and evaluate contracts with payers and vendors for policy revisions, testing timelines, and costs related to the ICD-10 transition. Talk to your trading partners about testing, and create a testing plan.
- Have a transition plan in place and make sure it documents the steps being followed and the dates that milestones will be achieved to comply with ICD-10 requirements
- Include vendor tasks in your plan and timeline, and make sure to communicate with your practice management system and/or EHR vendors regularly about ICD-10
- Establish an emergency fund to cover unexpected costs and possible reimbursement delays
- Identifying how ICD-10 will affect your organization
- Developing a plan for implementing ICD-10 and creating a timeline of activities
- Working with vendors on new software/systems to accommodate ICD-10
- Coordinating with vendors, payers, and other business partners about ICD-10, especially about testing transactions and processes that use ICD-10
- ICD-10: A Guide for Small and Medium Practices
- ICD-10: A Guide for Large Practices
- Transition to ICD-10: Getting Started