According to a recent survey conducted by QualiTest Group, three out of four healthcare providers are not meeting the recommended timeline for the switch to ICD-10 by Oct. 1, 2014.

Are you counted among those who are not? Is the ICD-10 transition of your orthopedic coding and all other aspects of your medical revenue cycle management at risk?

Many healthcare providers across the board think they still have a lot of time to complete the steps necessary including performing ICD-10 testing. Think again. That’s because CMS will not be performing end-to-end testing of ICD-10-CM and PCS fee-for-service. End-to-end testing is a process-wide testing of electronic claims submission, adjudication and “payment” to iron out bugs before a change is made to Medicare and commercial payment.

That means the burden of readiness for your Orthopedic is even heavier—unless you have an independent, third party medical coding and billing partner with special expertise in the ICD-10 transition that can ensure your transition –and your testing– is on track.

According to CMS, end-to-end testing was already done when its 5010 data standard was implemented last year, and ICD-10-CM and PCS are code sets rather than mechanisms to manage the data. That means providers and payers are on their own for the most part to make sure ICD-10 codes will be reportable and payable.

While CMS is doing internal testing, it won’t be providing much support to providers. Not only does this present a challenge for providers—because they must ensure their systems can handle ICD-10-related claims—but it’s also one for payers, who must retool and test their systems in time for the transition. The biggest worry is guaranteeing the process works from provider to payer and back.

So where do you get the support you need, now, when you need it more than ever? With ICD-10 looming overhead, you might need to rethink your ICD-10 process including your Orthopedic medical practice coding, billing, and collections.

Revenue assurance and ICD-10 expert is ahead of the game. They’ve already begun the ICD-10 transition and training process and have an in-depth understanding of the unique nuances of Orthopedic Surgery revenue cycle management including the need for uninterrupted patient care and revenue flow. It takes the special expertise of an independent partner in Orthopedic Surgery medical practice billing to take the weight off your shoulders and ensure your seamless coding transition so you can stay focused on your true passion… caring for patients. is the results-proven alternative for healthcare revenue cycle management, with a niche specialization in Orthopedic medical coding and billing that generates unprecedented results and builds profitable medical practices. Not only is the industry expert in physician coding, billing and collections, they are the professionals for seamless ICD-10 implementation. Leveraging a history of industry wide success spanning 26 years, partners with medical practices throughout the U.S. to optimize revenue for hospital based and practice based physicians. For more information, visit

About the Author