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BCBSTX Survey Confirms: Providers Need to Take Action on ICD-10

May 29, 2013

On Oct. 1, 2014, all HIPAA-covered entities will make a leap forward, transitioning from the ICD-9 code sets to the ICD-10 code sets. We’ve written in past issues of the Blue Review about the importance of preparing for ICD-10 now, especially after the Centers for Medicare & Medicaid Services made clear the deadline will not change.

BCBSTX has been surveying providers to assess their readiness for the transition to ICD-10. Our survey has focused on those providers submitting the highest claim volumes. Thank you to those of you who participated. So far, the results have reflected what many in the industry are saying anecdotally and through other surveys: most providers report they are not ready for ICD-10!

When we asked what steps had been completed for the transition to ICD-10 – Gap Analysis, Defining Requirements, Design/Development, Testing and Implementation – at least 75 percent of providers haven’t started or don’t know where they are in the process. Yet 88 percent of providers don’t have a contingency plan in place to receive claim payments if they aren’t compliant by Oct. 1, 2014.

If you haven’t yet started preparing for ICD-10, you’re not alone. But if you don’t begin planning now to meet the Oct. 1, 2014, deadline, you may not be compliant. Ensuring you’ll be ready for ICD-10 means you’ll continue to have your claims paid with as few interruptions to your practice as possible.

Our provider survey also tells us that one of the biggest obstacles to being ready for ICD-10 is training and education. We’re listening, and we’re focusing our efforts to point you to resources that can help you take action. Read the Blue Review for additional ICD-10 planning information. If you haven’t taken our ICD-10 Readiness Survey yet, visit the ICD-10 page in the Standards and Requirements section of the Provider website at bcbstx.com/provider. If you would like to receive email updates about ICD-10, contact us at ICD@bcbstx.com. We value your feedback.