ICD-10 implementation is just 6 months away. By now, orthopaedic practices should have accomplished the following actions:
- Completed the education of physicians, nurses, physician assistants, and coding staff.
- Finalized all software testing.
- Completed a review of business associates agreements.
- Identified the most common or frequently used ICD-9 codes and translated this information to ICD-10.
In the next month, orthopaedic practices need to undertake the following actions:
- Begin coding cases using ICD-10 codes to identify potential problems and test coding accuracy.
- Conduct tests with claims clearinghouses.
- Ask payers when they will be conducting tests and how the practice can participate.
- Review contracts for stipulations regarding claims denial resubmission requirements. Most contracts require resubmitting claims within 30 days.
- Develop a procedure for handling any claims denial after Oct. 1, 2014. Consider dedicating one person to handling all denied claims, beginning Oct. 1, 2014. Remember, practices will not get paid if denied claims are not resubmitted in a timely manner.
For more information on transitioning to ICD-10, visit www.aaos.org/icd10
Howard Mevis is director of the AAOS department of electronic media, electronic programs, CME-course operations, and practice management group. He can be reached at email@example.com