PAHCOM and CMS continue ICD-10 collaboration


PAHCOM and CMS continue ICD-10 collaboration

The Professional Association of Health Care Office Management (PAHCOM) and the Centers for Medicare & Medicaid Services (CMS) have been working together to address the impact ICD-10 will have on small physician practices. We will be offering a series of informational webinars and in-person training sessions to help you prepare for the ICD-10 implementation date of Oct. 1, 2014. 

Our first webinar was held on May 15; we will be conducting future webinars on a monthly basis. The May webinar covered the following items:

  • An overview of ICD-10
  • The importance of ICD-10 to small physician office practice managers
  • Navigating ICD-10
  • Timelines for ICD-10 implementation
  • ICD-10 tools and resources

We are very interested in hearing from you and providing you with education and support that will be beneficial as we move toward ICD-10 implementation. We would like to hear from you to gauge what information is most helpful as we tailor upcoming educational webinar content.

Background on ICD-10 impact
The ICD-10-CM (Clinical Modification) and Procedure Coding System (PCS) calls for a complete revision of the ICD-9 coding system, which was adopted in 1979. ICD CM codes are used for diagnosis purposes. ICD CM codes are used by hospitals and other facilities to describe any health challenges a patient has, from his/her diagnosis to symptoms to outcomes from treatment, to causes of death. 

ICD-10-PCS codes are used to report the procedure(s) performed on a specific patient. The ICD-10-PCS codes are only used to report hospital inpatient procedures. The Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) will continue to be used to report services and procedures performed in outpatient and office settings. The conversion to ICD-10 is a HIPAA code set requirement. Providers, including physicians, are HIPAA “covered entities,” which means that you will need to comply with the HIPAA requirements.

ICD-10 matters because:

  • ICD-10 advances healthcare and the implementation of eHealth initiatives.
  • ICD-10 is essential to healthcare reform and is part of the overall goal to achieve better care, better health and lower costs.
  • CMS’ eHealth programs such as ICD-10 Administrative Simplification, the Medicare and Medicaid Electronic Health Record Incentive Programs, and the Physician Quality Reporting System are all aimed at accomplishing this goal.
  • ICD-10 captures advances in medicine and medical technology.
  • ICD–10 captures new procedures that lead to innovative health care and medical breakthroughs.
  • ICD-10 improves data for quality reporting.
  • Many quality measures rely on ICD diagnosis codes. ICD-10 provides better data for quality reporting and outcomes measurement.
  • ICD-10 improves public health research, reporting and surveillance.
  • ICD-10 is more effective at capturing public health diseases due to its greater specificity. Federal, state, and local officials, including researchers, will use ICD-10 diagnosis codes for public health research, reporting and surveillance.

ICD-10 impact for PAHCOM
ICD-10 will impact all aspects of your practice from the front desk to nursing documentation to the clinical areas and physician office to the manager’s office to billing and coding. PAHCOM and CMS are committed to working together closely to help support small physician practices implement ICD-10. 

Future PAHCOM and CMS collaboration
PAHCOM and CMS have a number of other collaboration activities planned in the coming months. These future activities include:

  • PAHCOM was part of an industry panel in March 2013, and PAHCOM will be part of an industry panel discussing the unique impacts ICD-10 will have on small physician practice office managers in July 2013.
  • Regional in-person training sessions will be offered to small physician office practice managers later this summer and will continue on into 2014.
  • Ongoing ICD-10 conference calls and webinars will be offered to PAHCOM members.

Please join us for the future educational sessions and conferences. We want to hear from you!