Capital BlueCross
ICD-10 Toolkit
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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
industry’s best resources.
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Introduction
ICD-10 – Why transition?
• Current ICD-9 codes are outdated and do not reflect advances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
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Capital BlueCross FAQs and Provider Outreach
• General ICD-10 FAQs
CBC FAQ's
• Provider Outreach
CBC Provider
Outreach
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Other FAQs
From 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-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
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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
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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 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
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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
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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 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
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More Helpful Links
CMS offers email updates for those interested in staying up-tospeed 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 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 email
[email protected].
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