ICD-10 Starts This Week—October 1!

This week, the U.S. healthcare system will start using the International Classification of Diseases, 10th Revision, or ICD-10. The Center for Medicare & Medicaid Services (CMS) is prepared to solve problems that may come up. Because this is a major transition, CMS will be monitoring the transition in real time, watching their systems and addressing any issues that come into the ICD-10 Coordination Center.

CMS will also be offering support for physicians and their staff in the following four ways:

  1. If you need general ICD-10 information, CMS has many free resources at our Road to 10 webpage and on cms.gov/ICD10 that can help, such as the ICD-10 quick-start guide, customized ICD-10 action plans, videos, and Frequently Asked Questions.
  1. Your first line for help for Medicare claims questions is to contact your Medicare Administrative Contractor. They’ll offer their regular customer service support and respond quickly. The link to the Ohio MAC is http://cgsmedicare.com/
  1. You can e-mail the CMS ICD-10 Coordination Center, and they will respond to your questions.
  1. You can contact the ICD-10 Ombudsman. This resource is intended to be an impartial advocate for providers, focused on understanding and resolving concerns.

CMS has been working to help physicians move to ICD-10 by offering resources and flexibility, but if you aren’t ready for the transition, you still have options that will enable you to continue to provide care and be paid for your services. CMS recommends that you check with other payers to learn about their available claims submission alternatives.

For more information on ICD-10 from the Ohio Bureau of Worker’s Compensation click here.

The Pollen Line is now closed. See you in the spring!

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