The US health care system has officially transitioned to the International Classification of Diseases, 10th Revision, (ICD-10). The intended purpose of ICD-10 is to allow healthcare providers to capture more details about the health status of patients and to provide improved public health surveillance across the country. The Centers for Medicare & Medicaid Services (CMS) requires the conversion in order to "provide flexibility to accommodate future healthcare needs, facilitating timely electronic processing of claims by reducing requests for additional information to providers."
ICD-10 conversion has been a massive undertaking for private insurers since they will use the codes in their claims processing and for paying doctors and other healthcare providers. A recent report from the Government Accountability Office concluded that Medicare claims processing could be disrupted by errors when systems are required to begin processing ICD-10 codes. CMS will be closely monitoring the transition to the new system, however it could take a few weeks to get a clear picture of implementation.
MDMA will continue to update our members on all of the latest developments on this transition as it relates to healthcare providers and patient care across the country.