1 Capital BlueCross ICD-10 Toolkit

2 Introduction Capital 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 industrys best resources.

3 Introduction Current ICD-9 codes are outdated and do not reflect advances in medical technologies or provide enough description ICD-10 will work to provide: – Improved patient care – Richer medical data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?

4 Capital BlueCross FAQs and Provider Outreach General ICD-10 FAQs Provider Outreach

5 Other FAQs From Professional Associations and CMS The Hospital and Healthsystem Association of Pennsylvania – haponline.org haponline.org Pennsylvania Medical Society – pamedsoc.org pamedsoc.org Workgroup for Electronic Data Exchange – wedi.org wedi.org Centers for Medicare and Medicaid Services (CMS) – cms.gov cms.gov

6 CMS and ICD-10 CMS 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

7 CMS and ICD-10 CMS 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

8 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.

9 Preparing for ICD-10 Transition Training 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

10 ICD-10 Training Many 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

11 ICD-10 Training American Academy of Professional Coders ICD-10 Training for Coders 3M ICD-10 Education Program

12 ICD-10 Testing ICD-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

13 More Helpful Links CMS offers updates for those interested in staying up-to- speed on ICD-10 news. The agency also has previous updates available. updates previous updates Here are more tools and resources regarding the ICD-10 transition. End-to-end Testing Testing Readiness

14 More to Come Capital 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

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