ICD-10, News, Skilled Nursing Facility

ICD-10 is here!

Today, October 1, 2015, the U.S. health care system moves to the International Classification of Diseases, 10th Revision – ICD-10. The Centers for Medicare and Medicaid Services (CMS) have tested and retested their systems in anticipation of this day, and they are now ready to accept properly coded ICD-10 claims.

The change to ICD-10 allows you to capture more details about the health status of  your patients and sets the stage for improved patient care and public health surveillance across our country. ICD-10 will help move the nation’s health care system to better, smarter care.

You may wonder when CMS will know how the transition is going. It will take a couple of weeks before they have the full picture of ICD-10 implementation because very few health care providers file claims on the same day a medical service is given. Most providers batch their claims and submit them every few days.

Even after submission, Medicare claims take several days to be processed, and Medicare – by law – must wait two weeks before issuing payment. Medicaid claims can take up to 30 days to be submitted and processed by states. Because of these timeframes, CMS expects to know more about the transition to ICD-10 after completion of a full billing cycle.

It’s important that you know help’s available if you have problems with ICD-10:

For general ICD-10 information, there are many resources on CMS’ Road to 10 webpage;