March 2012
  Eighteenth Edition
ICD-10 Postponement – Why we should not stop our Progress?
The past four weeks were buzzing with news and reaction after Health and Human Services (HHS) announcement that it would initiate a process to postpone the date by which certain healthcare entities have to comply with ICD-10. Details of the delay are yet to be known but many industry associations have cautioned that practices should not hold their progress on ICD-10 Implementation. Majority of the practices have already invested significantly in ICD-10 any delay would prolong the time, money and efforts and halt in the progress would have a cascading effect on the implementation process as a whole.
Majority of the industry experts recommend to keep the momentum on and learn from 5010 transition that it’s never too early to start preparing and there is a definite need for more education on the topic. The transition to ICD-10 is a major undertaking and there is still a lot to learn about ICD-10 change and how it will impact the practices and changes practices will have to adopt internally to be compliant.
ICD-10 requires a major change in the documentation for most providers focus and effects put in to improve the documentation will affect quality of care & reporting and will lead to financial benefits, some of still need time to do more in-depth analysis of how their process can be improved. Education of the staff has to be the continuous process; steps to educate staff and keep improving their skills against the requirements of ICD-10, understand coders’ knowledge gaps and create a robust program to fill the gap and have knowledgeable workforce will be beneficial for the facilities in a long run.
Facilities already made huge investment in the resources and creating infrastructure for ICD-10 any halt or moving slow towards the implementation would be detrimental.
ICD-10 Coders Academy, on its part, is offering a $150 discount on its Comprehensive Online ICD-10 Training for those corporates who enroll their employees during the month of March 2012. With a minimum requirement of at least 15 employees, this should help those companies that want to train their staff now rather than later. To avail of this offer, please e-mail and one of our representatives will get back to you quickly.
Delay in implementation of ICD-10 could be catastrophic

Recently declared CMS’ intention for delay in the ICD-10 implementation process may have negative consequences,since the basic concern from the provider community is only the financial burden associated with it.

While moving the deadline, provider organizations seeks more time to comply, researchers indicated that the major concern with a delay is also cost. On one side,CMS is paying attention to the cost concerns raised by provider community, but at the same time, they must justify about the cost concerns of other stakeholders in the industry mainly those who have already invested millions of dollars in preparedness.

Differences in Coding of Infectious Diseases between ICD-9-CM & ICD-10-CM

As in other chapters, the first chapter of ICD-10-CM for coding of infectious and parasitic diseases is to some extent similar to the legacy system and also differs a lot in many other aspects.

Certain important differences between the 1st chapter of ICD-9-CM and ICD-10-CM:
  • Chapter 1 title in ICD-9-CM is “infectious and parasitic diseases” whereas it is “certain infectious and parasitic diseases”.
  • Streptococcal Sore throat conditions are classified in ICD-10 in diseases of respiratory system under acute pharyngitis and streptococcal tonsillitis. In acute pharyngitis conditions, it is classified into
    • Streptococcal
    • due to other specified organism and
    • unspecified types in the category J02
    Sore throat due streptococcal invasion of tonsils is classified in category J03.0, streptococcal tonsillitis in ICD-10-CM whereasstreptococcal sore throat was classified in ICD-9-CM in infectious and parasitic diseases.
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