AMA Clinical Examples in Radiology - 2013 Bulletin 2
Get ready for ICD-10!
Get ready for ICD-10! Implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD- 10-CM) and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD- 10-PCS)* is just around the corner. The Department of Health and Human Services (HHS) has no plans to extend the implementation deadline, and claims that do not use ICD-10 codes cannot and will not be processed after the October 1, 2014, implementation date. All radiology practices are urged to complete the steps required to implement ICD-10 before the deadline to ensure cash flow is not impacted. ICD-10 testing should begin immediately...
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Article Overview
This article is a practical overview for radiology and other health care organizations preparing for the ICD-10 transition. It discusses implementation timing, testing and mapping resources, CMS guidance, concerns about coverage policy conversion, and related 2014 CPT payment and review activity. It is intended for coding, billing, compliance, and practice management audiences that need to understand the scope of the change and where to find official guidance.
Why This Topic Matters
The article helps readers understand the operational and policy impact of the ICD-10 transition and why advance preparation, system testing, and policy review matter for reimbursement and workflow continuity.
Article Sections
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ICD-10 implementation timeline and preparation
Introduces the upcoming ICD-10 transition and emphasizes early preparation for health care organizations, especially radiology practices. It frames the operational impact of the change and the need to plan ahead.
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Testing, GEMs, and CMS resources
Summarizes CMS testing expectations and the availability of general mapping and implementation resources. It also points readers to official guidance for learning about ICD-10-related system changes.
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ICD-10 Basics and implementation support
Describes additional educational and planning tools from CMS and other organizations. The section focuses on resource availability for different types of practices and organizations.
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ICD-10 2014 release available for viewing
Notes the availability of a public release of ICD-10-CM for review and references the implementation date and update expectations. Contact information for follow-up is included.
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Major policy concerns with transition to ICD-10
Discusses concerns raised by radiology organizations about coverage policy conversion and the administrative impact of the transition. It covers stakeholder communication, policy review, and implementation concerns.
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Payment for new and revised codes in 2014
Addresses 2014 payment-related activity for procedural coding and the process used to review and comment on valuation recommendations. The section focuses on reimbursement policy and professional society involvement.
What You Will Learn
- How the ICD-10 transition is being framed for radiology practices
- What types of CMS testing and mapping resources are available
- What kinds of implementation support tools are described
- Why coverage policy conversion raised concern during the transition
- How 2014 procedural code payment review activity fits into the broader coding environment
Who Should Read This
- Radiology practices
- Medical coders
- Coding managers
- Billing and reimbursement staff
- Compliance professionals
- Practice administrators
Modifiers Discussed
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