ICD-10: What You Need to Know

CT-ICD-10Icon-200Take a peek at the new ICD-10 mandates and learn the benefits they bring to chiropractic, the major challenges they will present to your practice, and the new changes to the deadline.

Without a proper plan to implement ICD-10, next year’s deadline could offer up the same coding challenges to unprepared providers as it did this year. Therefore, the onus is on each chiropractor to take this time to prepare and ensure that they are ready for the challenge by the 2015 deadline.

When ICD-10 does come into play, there will be no overlap wherein both types of codes will be accepted. This hard-stop on ICD-9 codes means that close attention must be paid when billing near the 2015 deadline. But keep in mind, this does not mean that providers can transition early to ICD-10. CMS and other payers will not be processing the new claim format until the compliance date.

Although the transition to ICD-10 will remain challenging, let’s also take a look at some of the benefits that ICD-10 will inevitably bring to the chiropractic community:

  • The word subluxation will be introduced into code descriptions. The sixth character of a code now differentiates between subluxation and dislocation. 0=subluxation 1=dislocation.
  • Code definitions are more complete: the addition of right and left codes tells the complete story without the need for additional documentation, allowing insurance companies to place less reliance on providers’ notes. Better-defined codes means less reliance by payers on supporting documentation for approval.
  • Better coding means better tracking and a better understanding of the benefits of chiropractic courses of care.
  • ICD-10 codes enable future flexibility by allowing for expansion.
  • More accurate codes enable more accurate reimbursement by payers.

In preparation for this transition, it’s crucial to invest in training your staff early. Money spent on training and education is an investment in both productivity and accuracy that adds up to fewer rejections, less time spent reworking claims, and an uninterrupted cash flow for your practice. The ICD-10 code set contain 68,000 codes, up from 13,000. Some of these codes map easily in a 1:1 conversion, others are a 1:3 conversion or more. This means you and your staff must learn common codes to make these custom assessments on the fly.

To position our clients for this adjustment, ChiroTouch stands ready to deliver both the technology and training for our family of practices. Contact ChiroTouch to learn more about how we can keep your practice running with a comprehensive approach to billing, compliance, and industry standards.

ChiroTouch is the premier provider of fully certified, innovative software solutions for the chiropractic industry. Fusing advanced software systems with superior support services, we partner with chiropractors across the country to help them automate operations, improve patient care, and increase profitability. Visit www.chirotouch.com.