ED Coding & Reimbursement Alert - 2014 Issue 10
ICD-10: Talk to Workers' Comp Insurers Now to Head Off ICD-10 Issues
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Article Overview
This article discusses practical ICD-10 transition steps for providers and billing teams. It focuses on readiness checks for non-covered entities such as workers’ compensation and other insurers, coordination with billing vendors and downstream service entities, handling ICD-9 backlogs, and preparing for CMS end-to-end testing. It is relevant to practices that need to confirm claim submission requirements and operational readiness ahead of the implementation date.
Why This Topic Matters
The piece helps readers identify operational tasks that may affect a smooth ICD-10 transition beyond internal staff training and software updates. It is especially useful for providers, billing managers, and compliance staff who need to coordinate with payers, vendors, and testing programs.
Article Sections
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Keep An Eye on ‘Non-covered’ Entities
Discusses which payer groups are outside the mandatory transition and why providers may still need to confirm readiness and submission requirements with them.
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Don’t Be Daunted by Size of Code set
Addresses the scale of the ICD-10 code set, the importance of internal education, and provider responsibility when working with billing vendors.
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Tackle Backlogs
Covers the importance of addressing existing claim backlogs and coordinating with related service entities that rely on diagnosis information.
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Volunteer for End-to-End Testing
Explains CMS’s expanded testing opportunity, the timing of the testing period, and how providers can apply to participate.
What You Will Learn
- How ICD-10 transition planning extends beyond staff training and software updates.
- Which types of non-covered entities may require direct readiness confirmation.
- Why coordination with billing vendors and related service entities is part of implementation preparation.
- What role backlog cleanup can play in transition readiness.
- How CMS end-to-end testing is structured and how providers can seek participation.
Who Should Read This
- Physicians and other providers
- Billing and coding staff
- Practice managers
- Compliance teams
- Revenue cycle professionals
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