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Thursday, December 11, 2014

Open Enrollment and ICD-10

December 11, 2014
Chiropractic Medicare
"Open Enrollment and ICD-10"
2015 Medicare Participation Enrollment period is open, running from mid-November through January 31, 2015. This Open Enrollment Period gives Medicare Providers the opportunity to change their participation status. You can also access your new 2015 Medicare Fee Schedule by going to your carrier’s website.

If you choose to change your Medicare Participation status, you can do so with a certified letter to your Medicare Carrier indicating your change in the Medicare Part B Program effective January 2015. (Those in possession of our Chiropractic Medicare DVD and booklet, see example letter page 42 in booklet.)

CMS has released their final ICD-10 rule, indicating implementation of ICD-10 will occur October 1, 2015 with no further delays.

The implementation of ICD-10 will require us to change the way we called patient data and document in our charts. The change that must occur deals with being more “specific” to the highest degree. The more specific the data collecting and documentation the easier it will be to find the correct ICD-10 code. If you are using a certified software with all of its parts, when your data collecting is complete, your software should be able to do the conversion automatically from ICD-9 to ICD-10. Please make sure to communicate with your certified software company about getting the new ICD-10 codes and training for correct use.

Insurance companies are determining, with clarification from CMS, which specific codes are to be used and acceptable by providers. The key will be specific data collecting on all preliminary forms so that your software can either do the conversion or prompt you for more specificity to choose the correct ICD-10 code. DO NOT WAIT to review your data collecting for “specific” information. If you wait until October 2015 you could have a long spell of no commercial insurance or Medicare reimbursement.

Remember, while preparing for ICD-10 implementation, we must still be doing Medicare correctly. Also, doing Electronic Health Records or “EHR” (being paperless) is only one part of the seven steps necessary to become Medicare Compliant. You can either write your own Medicare Compliance Policy Book activating the requirements in your office, or you may purchase a Medicare Compliance book like you did with HIPAA.