ICD-10 and HIPAA 5010 Implementation

The Medical Group Management Association (MGMA) believes the transition to HIPAA 5010 and ICD-10 will be extremely costly and challenging for medical groups.

As the ICD-10 deadline of October 1, 2015 approaches, MGMA continues to advocate on behalf of our members and provide tools and resources to help make the transition to ICD-10 coding more cost effective and less disruptive to their organizations. 

Take a look at the comprehensive list of ICD-10 training, resources, and guides below to help your healthcare organization through the stages of transitioning to ICD-10.

*New Resource! Cypher ICD-10 Clinical Documentation Software

Latest ICD-10 News:

Find below links to all the news on the forthcoming ICD-10 deadline

For all the latest, visit MGMA's Washington Connection archive.

MGMA ICD-10 and 5010 Implementation Advocacy:

The latest updates on MGMA's advocacy on behalf of our members on ICD-10 coding.

See all of MGMA's advocacy efforts on ICD-10 related issues, and healthcare policies in our Advocacy Archive.

MGMA ICD-10 and 5010 Resources:

Your guide to MGMA resources on ICD-10 coding implementation and compliance on the MGMA.com site.

MGMA Executive Partner ICD-10 and 5010 Resources

MGMA works alongside industry partners to ensure our members have useful and practical resources to help make ICD-10 implementation easier.

  • ICD-10 Hub: A free educational website devoted to making physician practices’ transitions to ICD-10 easier.  Courtesy of Navicure.
  • ICD-10 Analyzer: A complimentary online tool that enables medical billers to identify the ICD-9 codes that will most impact a user’s payer reimbursement and suggest corresponding ICD-10 codes.  Courtesy of Navicure.


Other ICD-10 and 5010 Resources:

Other ICD-10 resources available ahead of the October deadline


What is ICD-10?

As of Oct. 1, 2014, physician practices are required to adopt the International Classification of Diseases, 10th Revision (ICD-10) code set for diagnosis.

For physician practices, the change to the new ICD-10 code set has proven to be one of the most complex and expensive undertakings in many years.

There are numerous steps medical practice professionals must take in order to ensure that their organization is prepared to submit claims using ICD-10 codes. External partners must also be ready in advance of the compliance date and many of these are running significantly behind schedule.

  • Training clinical and administrative
  • Practice management
  • EHR software vendors
  • Clearinghouse and health plans

In a recent MGMA LEARN survey, less than one in ten MGMA members reported being ready for the ICD-10 transition. Medical practices are expected to will incur significant ICD-10 implementation expenses, decreased coder and clinician productivity, and run the risk of cash flow disruption should large numbers of claims be pended or rejected after the Oct.1 deadline.<

MGMA has repeatedly expressed concerns about industry preparedness for ICD-10 and has been a strong advocate for complete end-to-end testing to ensure a smooth transition and avoid cash-flow disruptions for medical practices.

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