Advocacy & Practice Updates — Advocacy & Practice
Retina Specialists Preparing for Transition to ICD-10
February 27, 2014 -- Back to Retina Practice News
Based on members’ responses to the ASRS 2014 Practice Management e-Survey, “Preparation for CMS Mandates and Interest in ASRS Guidance & Resources,” in the field from February 13 to 21, nearly 75 % of retina specialists are preparing for ICD-10 transition, with 55 % saying they were “very likely” to be ready to submit ICD-10 transactions by October 1. Nearly 35 % have already started training staff while nearly half of respondents plan to begin training in the second and third quarters of 2014 for the October 1 deadline. We anticipate that despite preparations, some practices will have significant delays in payments due to problems with CMS receiving correctly formatted claims.
Tips for ICD-10 preparation
Organize the implementation effort
- Appoint a project manager who is familiar with or will become familiar with the ICD-10 requirements.
- Establish an implementation schedule.
- Set a budget for the work.
Identify necessary system changes
- List all work processes and electronic systems such as EMR, billing and reporting components, that use ICD-9 and will need to be updated to accommodate ICD-10 changes.
- Document any potential workflow changes.
Communicate with your payers, clearinghouses and vendors to determine their system readiness and ask what they’re doing to prepare for the transition.
- Ask your payers if there are any contractual changes regarding coding specificity that could affect how you process claims.
- Check with your IT vendor to determine if there will be hardware upgrade costs.
- Participate in vendors’ webinars and training sessions to understand the impact of ICD-10 on the existing system.
Implement system and/or software upgrades.
- Schedule upgrades
- Establish a master calendar for when each vendor will update your system.
- Test the use of ICD-10 codes within your systems and correct any identified issues.
Update internal processes.
Determine the training needs of your staff and conduct staff training.
Test, Test, Test - Before the October 1, 2014 deadline, make sure to test your transaction submissions with your vendors, payers, and clearinghouses to make sure everything is going smoothly.