ICD-10 Compliance Deadline: Oct. 1, 2015
The ICD-10 (International Classification of Diseases, Revision 10) is in effect as of Oct.1. The American Medical Association is focusing on steps to ease the transition and mitigate potential disruption in claims processing, physicians’ workflow and patients’ access to care.
Problems with Medicare Claims?
Some physicians may experience problems in the processing of their Medicare claims and other administrative transactions after the ICD-10 implementation. The Centers for Medicare & Medicaid Services (CMS) has named William Rogers, MD, an emergency medicine physician and the head of CMS’s Physician Regulatory Issues Team, to be its ICD-10 ombudsman, who will receive and triage physician and provider problems. The AMA offers an ICD-10 complaint form by email, where you can register complaints with the ombudsman, as well as a list of suggestions for further steps you can take. CMS is also establishing a communication center that will begin monitoring ICD-10 issues beginning at the end of September 2015.
Please note: Forms will be sent directly to the Centers for Medicare & Medicaid Services (CMS). The AMA will not provide individual responses to each complaint.
CMS and AMA Flexibility for ICD-10 Medicare Claims
On July 6, with less than three months remaining until the Oct. 1 deadline, CMS and the AMA announced efforts to continue to help physicians prepare for ICD-10. Read CMS’s guidance in response to the AMA’s concerns, as well as a set of questions and answersPDF FIle.
ICD-10 Educational Resources and Implementation Tools
These educational resources and implementation planning tools will increase your understanding of ICD-10 and help you prepare for its transition.
News and Updates on ICD-10
AMA Wire has the latest articles and viewpoints and a special ICD-10 series focused on timely tips and information to help physicians prepare for the Oct. 1 deadline. Also, read the latest press release on the code set.
The updated Frequently Asked Questions page summarizes the differences between ICD-10 and ICD-9, details who needs to upgrade to ICD-10 and recommends steps that you can take to prepare for the conversion to the new system.
Medicare continues to update the National Coverage Determinations (NCD) and Local Coverage Determinations (LCD). Learn more about ICD-10 payment.
AMA’s Efforts to Ease ICD-10 Transition
The AMA has advocated for physicians during the transition to ICD-10 by voicing physicians’ concerns to powerful stakeholders and policymakers. Read the most recent advocacy letters, calls, responses and testimonies that best represent the AMA’s concerns about ICD-10 and illustrate its commitment to removing barriers to a satisfying and sustainable practice.
AMA ICD-10 Products
The AMA Store offers for-sale training materials and other resources to help you understand and implement the new codes. Choose from among the following or view all of our ICD-10 offerings:
ICD-10-CM and ICD-10-PCS codebooks with official guidelines to help you stay up-to-date on all of the latest codes.
ICD-10 resources for in-depth guidance on anatomy and physiology, code mapping and documentation.
Specialty-specific coding cards and ICD-9-CM to ICD-10-CM mapping cards to reference quickly codes related to different specialties.
Data files that allow facilities to add ICD-10 codes to their software