Tuesday 21 August 2012

ICD-10 May Have Moved To 2014 – Do You Have Enough Time To Get Ready?

The department of Health and Human Services (HHS) decision to delay ICD-10 compliance by one year (to October, 2014) may have come as a much needed relief for coding professionals. At the same time, looking at the enormity of the task in terms of switching over to a comprehensive ICD-10 regimen, one feels that it is going to make hardly any difference considering the intensity of the job ahead:

  • Learning a new code set, which is more specific and many times the existing ICD-9
  • Being certified for possessing the requisite caliber for ICD-10 coding
  • Being conversant with the HIPAA 5010 and electronic interface for coding and processing physicians’ claims with Medicare and multiple private insurance schemes
Amidst these intervening conditions, one is tempted to ask the question:

  • Do you have enough time to be ready by the eventual deadline, and how best can you utilize the one-year extension to fully test your theoretical and technical knowledge against the real world of ICD-10 compliant billing and coding?
Most of the intervening period is going to be consumed by the training requirements for ICD-10. As ICD-10 requires you to be ICD-10-CM Anatomy and Pathophysiology, and General ICD-10-CM Code Set, a considerable time is lost to sourcing and learning these pre-requisites. And adding to this overwhelming responsibility is getting trained for specialty-specific proficiency in one’s chosen discipline/s.

While training makes you familiar and conversant with ICD-10 norms, it is no guarantee that you will be ensured with lucrative professional career. As most of prospective employers go by certification credentials, you would require to be certified by competent authorities. Preparing for certification credentials has its own demand and would necessarily involve time and resource. Amongst many certification credentials that are available, the following are widely accepted as the most-sought-after by employers:

  • Certified Professional Coder (CPC)
  • Certified Professional Coder – Outpatient Hospital (CPC-H)
  • Certified Professional Coder – Payer (CPC-P)
  • Certified Interventional Radiology Cardiovascular Coder (CIRCC)
  • Specialty Credentials
  • Certified Professional Medical Auditor (CPMA)
  • Certified Professional Compliance Officer - CPCO
  • Certified Physician Practice Manager (CPPM)

Besides these two primary tasks, you will also have to contend with the task of being familiar with technology interface for ICD-10 and HIPAA 5010. Since the technology interface for ICD-10 and HIPAA 5010 is more comprehensive in nature, you may have to undergo specific orientation in sync with unique demands of your prospective clients’ (physicians) clinical and operational models. Moreover, you may also have to upgrade physicians’ internal technology platforms to complement external technology environment.

Therefore, despite the delay, medical coders’ task of ICD-10 compliance continues to be as usual: intense and demanding. The one-year delay may, at best, allow you a little time to test your acquired knowledge.

While you continue to be on-course to your ICD-10 compliance, Medicalbillersandcoders.com’s (www.medicalbillersandcoders.com) ICD-10 resources should offer you timely help. Our unique ICD-10 training and orientation program is feature-rich with webinars, forums, and online learning materials and latest updates.

Check for our next update - What percentage of the market has already moved into ICD-10?