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3P Miniseminar to Address Transition to ICD-10 Coding by 2014

The Academy’s Physician Payment Policy (3P) workgroup has hosted a miniseminar on transitioning to ICD-10 during the past several years in anticipation of implementation of the new coding system.

Although there have been some delays to implementation, the workgroup believes the transition will occur on October 1, 2014. The miniseminar “Pearls on How to Transition to ICD-10 Coding by 2014,” which takes place from 8:00 am to 9:20 am today in West Ballroom A, will help attendees be prepared for the changes.

“This is the first year that there will be an interactive panel discussion about why it is so important to get started now and how otolaryngology practices will be impacted by clinical documentations issues,” said Michael Setzen, MD, Great Neck, NY.

Topics included in the discussion will provide a timeline of essential activities for successful implementation and what to expect to prepare for during implementation processes. The session also will explore common implementation hurdles and provide information about the most commonly billed ENT diagnosis codes used now and what they will look like in ICD-10-CM.

Rhonda Buckholtz, vice president of ICD-10 Education and Training for the American Academy of Professional Coders (AAPC), will return this year to provide the technical aspects of the transition practices and what office staff/coders should be aware of during the transition period. She will give examples of code transitions related specifically to otolaryngology procedures.

In addition, one of the three speakers on the panel will include Robert Lorenz, MD, 3P member and medical director of Payment Reform, Risk & Contracting for the Cleveland Clinic Health System. He will provide the physician perspective to ICD-10 transition. Dr. Lorenz serves as the physician lead on the transition of 41,000 employees to ICD-10 in 2014 for the Cleveland Clinic. He will review:

  • Where physicians should be in the process
  • Logistics of the physician/practice transition during the next year.
  • What questions they should be asking their EHR Vendors now and in the future.
  • How the transition will tie into quality reporting, meaningful use, EHRs, and other transitions already occurring for physicians.
  • Steps physicians in private practice should be taking now (e.g. reaching out to important payers to communicate about anticipated issues).
  • Potential costs of procrastination.

Attendees also will hear the payer perspective of ICD-10 transition from Annie Boynton, director of 5010/ICD-10 Communication/Adoption and Training at United Health Group (UHG). She will highlight the following issues:

  • Vendor and Payer contracts with physicians will require reevaluation and updating (How do payers plan on tackling this?)
  • Curriculum that payers will use to facilitate successful ICD-10 implementation.
  • Needs and Resources required for a successful ICD-10 transition on the payer side
  • How much progress have payers made thus far?
  • Will payers be dual processing claims? If so, when will this start?
  • What types of problems do payers anticipate experiencing with the transition?
  • Steps payers are taking for early communication with providers to avoid issues in Oct. 2014.
  • What will need to be tested?
  • How will payers handle errors in billed claims?

Dr. Setzen said people should attend the session to learn about how the transition to ICD-10-CM will affect physician practice and resources offered through the Academy to help prepare their practices. They’ll also understand why an implementation timeline is important for successful implementation and how the proper steps can lead to a smoother implementation. Attendees also will review ENT case examples for clinical documentation hurdles and specificity required in ICD-10-CM to properly assign codes.

“This miniseminar is very timely,” he said. “The largest change to the healthcare system in our history is coming and careful planning will be necessary in order to successfully implement both ICD-10 and 5010. The implementation date is October 1, 2014, which is right around the corner. Members need to prepare for this significant change for payments to be appropriately processed so that claims are not delayed.”

The Academy has a wealth of ICD-10 coding and preparation resources that can be found on our website at http://www.entnet.org/Practice/International-Classification-of-Diseases-ICD.cfm.


ICD-10 Transition Resources

AAO-HNS resources for members on the ICD-10 transition available at http://www.entnet.org/Practice/
International-Classification-of-Diseases-ICD.cfm include:

  • An ICD-10 superbill designed to assist otolaryngology practices in quickly completing and submitting procedure(s) and diagnosis codes visit for reimbursement. It is customized for an otolaryngology office and contains fields for patient information, the most common CPT (procedure) and ICD-10-CM (diagnostic) codes used by that office.
  • The Top 200 ICD-9 codes used in otolaryngology and their relevant ICD-10 code crosswalks.