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Capital BlueCross

ICD-10 Toolkit

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IntroductionCapital BlueCross and ICD-10

Capital BlueCross is dedicated to assisting providers transition to ICD-10 as efficiently as possible. This toolkit will help do that by providing a links to and tips from some of the industry’s best resources.

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Introduction

• Current ICD-9 codes are outdated and do not reflect advances in medical technologies or provide enough description

• ICD-10 will work to provide:

– Improved patient care

– Richer medical data with higher degrees of detail

– Enhanced claims processing

– Increased collaboration across industry stakeholders

ICD-10 – Why transition?

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Capital BlueCross FAQs and Provider Outreach

• General ICD-10 FAQs

• Provider Outreach

CBC FAQ's

CBC Provider Outreach

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Other FAQsFrom Professional Associations and CMS

• The Hospital and Healthsystem Association of Pennsylvania

– haponline.org

• Pennsylvania Medical Society

– pamedsoc.org

• Workgroup for Electronic Data Exchange

– wedi.org

• Centers for Medicare and Medicaid Services (CMS)

– cms.gov

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CMS and ICD-10CMS has made the following resources available to help providers and other health care professionals transition to ICD-10.

• The ICD-10 Transition: An Introduction

• ICD-10 Basics for Medicare Practices

• Talking to Your Vendors About ICD-10: Tips for Medical Practices

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CMS and ICD-10CMS has also developed the following timelines to help providers and facilities of varying sizes maintain a transition schedule.

• For Large Providers

• For Small Providers

• For Small Hospitals

• Small and Medium Provider Practices

• Large Provider Practices

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Preparing for ICD-10 Transition

An ICD-10 transition plan is important to a successful conversion. A good plan should:

• Address organization needs and vendor readiness.

• Be coordinated and inclusive of all staff.

• Be consistently mindful of the reasons for the transition.

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Preparing for ICD-10 TransitionTraining

• Suggested for late 2013 or early 2014

• Varies by organization

• Physician practice coders need to learn ICD-10 diagnosis codes only

• Hospital coders need to learn ICD-10 diagnosis and inpatient procedure codes

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ICD-10 TrainingMany professional organizations and associations offer ICD-10 training, some of which can be used by professional coders to earn continuing education credits. Here are a few resources and training materials offered by some renowned industry leaders.

• Healthcare Information and Management Systems

• ICD-10 Playbook

• American Health Information Management Association (AHIMA)

• ICD-10 Training• Start Implementing ICD-10 • AHIMA Training and Recommendation Resources• AHIMA Planning and Preparation Checklist• Developing an ICD-10CM/PCS Coder Training Strategy

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ICD-10 Training

• American Academy of Professional Coders

• ICD-10 Training for Coders

• 3M

• ICD-10 Education Program

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ICD-10 TestingICD-10 testing is an important part of the transition timeline. Capital BlueCross is developing a testing strategy which includes partnering with providers and facilities.

While this strategy is being developed, the following documents from CMS provide testing guidance.

• End-to-end Testing

• Testing Readiness

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More Helpful LinksCMS offers email updates for those interested in staying up-to-speed on ICD-10 news. The agency also has previous updates available.

Here are more tools and resources regarding the ICD-10 transition.

• End-to-end Testing

• Testing Readiness

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More to ComeCapital BlueCross will update this toolkit as new information and resources become available. Check back periodically for revised versions.

In the meantime, if you have questions or need to contact Capital BlueCross regarding ICD-10, please email ICDproviderCommunication.cbc@capbluecross.com.

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