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The ICD-10 transition will affect every aspect of your practice. Learning a new code set and upgrading your software is only the beginning.

ICD-10 Training by Position: Select the category that best represents you.

AAPC has nationally renowned ICD-10 experts who have been hard at work for years developing training and resources to guide your practice through the transition. Whether you're a large facility or a solo practice, we have solutions that will fit our needs. To get started, select which role you identify with most.

Provider Office Changes

The interactive diagram below shows how each role within the provider office will be affected by ICD-10. There's more to ICD-10 than just learning a new code set and upgrading your software. The transition will affect every aspect of your practice. The interactive diagram below shows how each role within the provider office will be affected by ICD-10.

LAB

  • Documentation: Must use increased specificity.
  • Reporting: Health plans will have new requirements for the ordering and reporting of services.

NURSES

  • Forms: Every order must be revised or recreated.
  • Documentation: Must use increased specificity.
  • Prior Authorization: Policies may change, requiring training and updates.

PHYSICIANS

  • Documentation: The need for specificity dramatically increases by requiring laterality, stages of healing, weeks in pregnancy, episodes of care, and much more.
  • Code Training: Code increases from 17,000 to 140,000. Physicians must be trained.

CLINICAL

  • Patient Coverage: Health plan policies, payment limitations, and new ABN forms.
  • Superbills: Revisions required and paper superbills may be impossible.
  • ABNs: Health plans will revise all policies linked to LCDs or NCDs, etc., ABN forms must be reformatted, and patients will require education.

MANAGERS

  • New Policies and Procedures: Any policy or procedure associated with a diagnosis code, disease management, tracking, or PQRI must be revised.
  • Vendor and Payer Contracts: All contracts must be evaluated and updated.
  • Budgets: Changes to software, training, new contracts, and new paperwork will have to be paid for.
  • Training Plan: Everyone in the practice will need training on the changes.

FRONT DESK

  • HIPAA: Privacy policies must be revised and patients will need to sign the new forms.
  • Systems: Updates to systems may impact patient encounters.

CODING

  • Code Set: Codes will increase from 17,000 to 140,000. As a result, code books and styles will completely change.
  • Clinical Knowledge: More detailed knowledge of anatomy and medical terminology will be required with increased specificity and more codes.
  • Concurrent Use: Coders may need to use ICD-9-CM and ICD-10-CM concurrently for a period of time until claims are resolved.

BILLING

  • Policies and Procedures: All payer reimbursement policies may be revised.
  • Training: Billing department must be trained on new policies and procedures and the ICD-10-CM code set.

Download a print version of these ICD-10 Office Changes

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