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MTBC’s ICD-10 Compliance Roadmap

The International Classification of Diseases, Tenth Edition, or ICD-10 is a coding system that went into effect in the U.S. healthcare industry on Oct. 1, 2015. It is used to standardize codes for medical conditions and procedures. The ICD-10 codes have enabled more accurate medical billing by offering many more classification options compared to those found in its predecessor ICD-9.

For thousands of physicians and other clinicians in the United States, the change from ICD-9 to ICD-10 was a major concern demanding time, preparation, and a lengthy period of adjustment. MTBC has proven to be an ideal ICD-10 compliance partner and remained fully committed in meeting all applicable time frames for ICD-10 compliance prior to October 2015.

We have worked closely with our clients to ensure their smooth transition to ICD-10. To find out more about ICD-10 and its latest updates, please visit the CMS site.

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During the transition to ICD-10 period, we had implemented an ICD-10 adoption strategy that mainly focused on:

  • A mapping solution to ensure that our practices can look up ICD-9 to ICD-10 codes as well as ICD-10 to ICD-9 codes.
  • Targeted external testing with our clearing houses, such as Emdeon.
  • Targeted external testing with payer-organizations.
  • Internal ICD‐10 testing to ensure proper implementation of processes & policies.
  • Providing adequate guidance and training to our clients for a smooth transition from ICD 9 to ICD 10.
  • Extensive training on an organizational scale to equip our workforce with the required knowledge and competency.

Our streamlined business processes and technological solutions seamlessly accommodated this coding shift. By October 1, 2015, the ICD-10 modifications to our practice management and EHR product suite were completed and fully functional. This has helped guarantee our clients’ successful and hassle-free transition to ICD-10.

MTBC ICD-10 Training and Coaching Services

Our ICD-10 coaching services encompassed the entire ICD-10 lifecycle from initial assessment to testing, and post-transition/implementation support. To simplify the coding transition, our HIT specialists:

  • Divided the complex ICD-10 transition process into implementable steps
  • Approached all our clients and assessed their usage as well as their ICD-10 readiness
  • Provided training to clients on our WebEHR and Practice Management System’s changes to submit claims in dual coding
  • Provided training and support of various mHealth apps that utilize ICD 10 functionality
  • Provided a series of webinars
  • Helped clients in assessing the impact of this coding transition on their work flow & revenue cycle

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I would say that MTBC has the most steadfast and trustworthy infrastructure not just in medical billing but in medical coding services for hospitals and healthcare providers nationwide in ICD-9, ICD-10 and CPTs. They know how to solve their customers’ challenges and improve their cash flow by providing the best services in the industry.

Dr. Adarsh Gupta Primary Care Group Practice
Southern New Jersey

MTBC ICD 9-10 Converter App!

  • Detailed description of each ICD-10 code
  • Converts searched ICD-9 codes to ICD-10 codes
  • Search by Full or Partial Code or by Keywords
  • Search ICDs by Code or Description
  • Search History Feature keeps track of what you’ve searched for
  • A nice section for selecting codes by specialty that many will find useful
  • You can narrow your search based on specialty and chief complaint
  • A Must-Try App for a Physician
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FAQs regarding ICD-10 Transition for MTBC Clients

What is the current status of MTBC in regards to ICD-10?

MTBC successfully completed all the transition tasks well before the October 2015 deadline. MTBC made its ICD-9 to ICD-10 products available to clients to help them in testing their system and processes.

Was any mapping or crosswalk strategy used between ICD-9 and ICD-10 code sets? Were there any tools available as a crosswalk between ICD-9 and ICD-10?

MTBC did provide a mapping solution to ensure that all of its practices can look up ICD-9 to ICD-10 codes and vice versa. In some cases, there is a one-to-one match. However, in many cases, there is one ICD-9 code that maps many ICD-10 codes due to laterality and specificity within ICD-10. In other cases, there are many ICD-9 codes that map to a single ICD-10 code due to having more combination codes available in ICD-10. The major tools of MTBC’s WebEHR and Practice Management available for the purpose are:

  • ICD-9 to ICD-10 Code Converter.
  • ICD-9 to ICD-10 Converter Smart App.

In what time frame was the system modification process completed? What role did MTBC play in system testing?

MTBC successfully completed all ICD-10 modifications to its Practice Management and EHR solutions and made these available to our clients during Q-3 in 2015. This gave us ample time to engage in comprehensive internal testing and targeted end-to-end external testing. The modifications primarily included the development of the ICD-10 Translator in Practice Management as well as all of the EHR systems, increasing the ICD-10 field size to 7 characters along with creation of new CMS 1500 forms. We have also conducted extensive trainings for our coding staff about the ICD-10 coding system and its comparison and contrast with the current ICD-9 coding system.

Was there a cost involved in ICD-10 transition? Were the modifications and upgrades and ‘ICD-10 claims submission testing support’ covered by existing contracts?

No extra cost was passed down to our clients on account of the ICD-10 transition with our Practice Management and EHR solutions. Nor was there any impact on the contractual agreement between MTBC and its clients. Moreover, all the mentioned tools and upgrades during the ICD-10 transition were fully covered and did not interrupt MTBC clients’ cash and clinical workflow.

During the ICD-10 transition phase, have you provided customer support and training for the ICD-10-related functionality, and what were the charges? How did you provide the trainings (i.e. webinars or knowledge hub etc.)?

MTBC devised strategic plans to ensure efficient transition to the ICD-10 system without impacting clients’ workflow processes. In this regard, MTBC organized a series of free webinars to educate clients about the implications of ICD-10 coding standards.

Was there any phased approach for implementing ICD-10?

MTBC adopted a strategic plan for the ICD-10 implementation that encompassed various stages of development. The main phases for the implementation were:

  • Impact Assessment – (Q2 2013)
  • Internal Communication – (Q2 2013)
  • Implementation of ICD-10 development changes – (Q3 2013)
  • Internal Testing – (Q4 2013)
  • External testing with payers and clearing houses – (Q1 2015)
  • Client Education – (Q2 2015)
  • Going Live – (Q3 2015)

Is there any ICD-10 Translator available for customer use?

MTBC has already released its set of mHealth apps. Our standalone ICD-9 to ICD-10 converter app is available on play store/app store:

What was the overall impact of ICD-10 transition on the interfaces in use, such as electronic prescribing, lab interfaces and appointment reminders?

The ICD-10 developments had no impact on these interfaces and they remained fully ICD-10 compliant.

What role did MTBC play in the testing of ICD-10 claims? Have you coordinated with various payers/vendors/clearing houses about the ICD-10 claims?

MTBC successfully completed the testing of ICD-10 claims well before time. Other than the external testing with major vendors and clearing houses (including Emdeon and CMS) – we even remained in constant communication with other payers regarding the ICD-10 claims.

What is MTBC’s commitment to reviewing and troubleshooting the claims post ICD-10 implementation (post 10/01/15)?

MTBC is fully committed to ensure that claims of our clients are not negatively affected by the ICD-10 transition. We are in constant communication with Emdeon (our claims clearinghouse) to make the transition process error free for our clients. Additionally, MTBC’s support staff remains available 24/7 to answer queries and provide technical support or educational resources.

For more information on ICD-10, Contact Us, E-mail us or call us at (866) 266-6822.

Links to other helpful tools available on the CMS ICD-10 Website:

The ICD-10 Transition: An Introduction | CMS ICD-10 Industry Email Updates
Small Physician Practice's Route to ICD-10 | ICD-10 Provider Resources
ICD-10 Latest News| National ICD-10 Provider Education Teleconferences