Medicare Compliance & Reimbursement - 2012 Issue 3
Reader Question: Wait for Oct. 1, 2013 for ICD-10
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Article Overview
This short reader Q&A addresses the timing of the ICD-10 transition and related preparation steps for providers, coders, and billing staff. It discusses the changeover date, the continued use of the prior diagnosis code set before that date, and the general idea of internal testing and staff readiness. The article is relevant to anyone managing diagnosis coding workflow, payer submission timing, or implementation planning during the transition period.
Why This Topic Matters
Transition dates affect whether claims are accepted or rejected, so practices need to know which diagnosis code set applies based on service date and when external submission of the newer code set begins. The article also highlights the need for training and documentation review before implementation.
Article Sections
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Question
A subscriber asks about the status of billing with the newer diagnosis code set and whether claims are being processed successfully.
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Answer
The response explains the transition timing, discusses internal preparation activities, and outlines the general need to coordinate coding workflow with the implementation date.
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Remember
A reminder section summarizes the effective timing for diagnosis coding changes and the need to maintain two code sets during the transition period.
What You Will Learn
- The timing of the diagnosis coding transition
- How practices may prepare internally before the switch
- Why documentation review and staff training matter during implementation
- How service date affects which diagnosis code set applies
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
- Physician office staff
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