Chapter 1
Chapter 2
How to Avoid an Office Meltdown:
Find Out the Facts about ICD-10-CM
Chapter 3
Chapter 4
Chapter 5
Appendix
Chapter 1
Table of Contents
Why Is ICD-9 Being Replaced? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
How Is ICD-10-CM Different? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Chapter 2
Chapter 1
How Does the New Format Compare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
How Does Mapping Work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Chapter 2
Chapter 3
Struck By a Turtle? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Assessing Software Vendor Readiness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Costs to Convert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Chapter 4
Selecting an Experienced ICD-10-CM Partner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Create a Safe Environment to Learn and Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Chapter 5
Getting Started is Critical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Chapter 5
Coding and Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Chapter 4
Chapter 3
Appendix
Footnotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
1
Appendix
Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Chapter 5
How Does the New Format Compare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Chapter 4
How Is ICD-10-CM Different? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Chapter 3
Why Is ICD-9 Being Replaced? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Chapter 2
From IC-9 to ICD-10
Chapter 1
ICD-9
ICD-10
Struck By a Turtle? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Appendix
How Does Mapping Work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Chapter 1
Why is ICD-9 Being Replaced?
Chapter 2
The ICD-9 coding system currently being used to report medical diagnoses and inpatient procedures is more than 30 years old. It has outdated terms,
produces limited data about medical conditions and inpatient procedures, and is inconsistent with new medical practices. Perhaps most importantly,
the structure of ICD-9 restricts the number of new codes that can be created and many ICD-9 categories are full. 1
ICD-10-CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System) is made up of two parts:
•
•ICD-10-CM
•ICD-10-PCS
3
2015
Appendix
The US Department of Health and Human Services (HHS) announced in
August 2012 that the deadline for compliance with the new ICD-10 medical
coding system would be postponed one year, to Oct. 1, 2014. Then Section
212 of the Protecting Access to Medicare Act was interpreted by the Centers
for Medicaid and Medicare Services as providing for yet another year-long
extension to Oct. 1, 2015. Because simultaneous adoption of ICD-10 across
the industry is critical to success, the deadline extensions were enacted to
give payers and providers more time for system preparation and testing. 2, 3
Chapter 5
ICD-10 Deadline:
October 1, 2015
ICD-10-PCS will be used for U.S. inpatient hospital settings only.
ICD-10-PCS uses 7 alphanumeric digits, instead of the 3 or 4
numeric digits used in current ICD-9-CM procedure coding.
ICD-10-PCS coding is much more specific and substantially
different from ICD-9-CM procedure coding.
Chapter 4
ICD-10-CM is for diagnosis coding in all U.S. healthcare settings.
Although diagnosis coding under ICD-10-CM relies on 3 to 7 digits
to provide greater detail and specificity – as opposed to the 3 to
5 digits used with ICD-9-CM – the format of the two code sets is
similar.
Chapter 3
•
Chapter 1
How is ICD-10-CM Different?
In many respects, ICD-10-CM is comparable to ICD-9-CM. The guidelines, conventions, and rules are similar, as is the code organization. 4
One of the biggest differences, however, is the level of specificity that can be achieved. A major concern with ICD-9-CM has been the lack of detail
conveyed in the codes. For example, if a patient is seen for treatment of a burn on the right arm, the ICD-9-CM diagnosis code does not distinguish
that the burn is on the right arm. If the patient is seen a few weeks later for another burn on the left arm, the same ICD-9-CM diagnosis code would
be reported. Additional documentation would likely be required for a treatment claim to explain that the burn treated at this time was different
from the one treated previously. Yet with the ICD-10-CM diagnosis code set, characters in the code identify right versus left, initial encounter versus
subsequent encounter, and other granular, clinical information. 5
Chapter 2
Specifically, the expanded number of characters of the ICD-10-CM diagnosis codes allows for identification of the disease etiology,
anatomic site, and severity.
Chapter 3
Characters 1-3:
CATEGORY
The transition to ICD-10 is mandatory for all payers providers and other organizations covered by the Health
Insurance Portability and Accountability Act (HIPAA). Payers are legally and financially responsible not only
for adhering to ICD-10 but also administering regulations among their providers.6
4
Appendix
Mandatory Payer
Position
fracture of lower end of right radius,
S52.521A Torus
initial encounter for closed fracture
Chapter 5
Character 7:
EXTENSION
S52.5 Fracture of lower end of radius
S52.52 Torus fracture of lower end of radius
S52.521 Torus fracture of lower end of right radius
Chapter 4
ICD-10-CM
Characters 4-6:
ETIOLOGY, ANATOMIC
SITE, SEVERITY, OR OTHER
CLINICAL DETAIL
S52 Fracture of forearm
Chapter 1
How Does the New Format Compare?
ICD-9-CM
Numeric or Alpha (E or V)
Numeric
In ICD-10-CM, however, codes can be up to seven digits. The first digit is always alpha
(it can be any letter except U), the second digit is always numeric, and the remaining
five digits can be any combination.
CATEGORY
ICD-10-CM
CATEGORY,
ANATOMIC SITE,
SEVERITY
Alpha (every letter except U)
Numeric
CATEGORY
Numeric or Alpha (every letter except U)
EXTENSION
ETIOLOGY
LATERALITY
(Renal Impairment) (Left Shoulder)
CATEGORY
(Chronic Gout)
LOCATION
(Shoulder)
EXTENSION
(without tophus)
ICD-10-PCS is a code set for inpatient procedure reporting. ICD-10-PCS has nearly 79,000 seven-digit
alpha-numeric codes. Codes are selected from complex grids, based on the type of procedure performed,
the approach, body part, and other characteristics. The code system does not use medical terminology
based on Latin or eponyms. 8
5
Appendix
What about
ICD-10-PCS?
M1 A 3 1 2 0
Chapter 5
The following example shows an ICD-10-CM code for chronic gout due to renal
impairment, left shoulder, without tophus. The corresponding ICD-9-CM code
would have been 274.02, which only indicates gouty arthropathy. As you can see,
the ICD-10-CM code contains much more information. 7
Chapter 4
CATEGORY,
ANATOMIC SITE,
SEVERITY
Chapter 3
However, all of this increased specificity comes at a price – the codes are becoming
more complex. In ICD-9-CM, codes are three to five digits. The first digit is either
numeric or alpha (the letters E or V only) and all other digits are numeric.
Chapter 2
As previously indicated, one of the primary identified benefits for the transition from
ICD-9 to ICD-10 in the United States is the increased level of specificity offered by the
ICD-10 code format. This specificity will benefit patients and doctors (by giving more
detailed diagnosis and treatment information), payers (by more accurately defining
services) and international organizations that monitor worldwide disease.
Chapter 1
Struck by a Turtle?
For instance, codes exist for injuries received while sewing, ironing, playing a brass instrument, crocheting, knitting, and doing handcrafts, as well as
“burn due to water-skis on fire,” and more than 300 codes involving injuries related to animals. 9 (See the CMS ICD-10-CM coding example below. 10)
W5921XA
W5921XD
W5921XS
W5922XA
W5922XD
W5922XS
W5929XA
W5929XD
W5929XS
Bitten by turtle, initial encounter
Bitten by turtle, subsequent encounter
Bitten by turtle, sequela
Struck by turtle, initial encounter
Struck by turtle, subsequent encounter
Struck by turtle, sequela
Other contact with turtle, initial encounter
Other contact with turtle, subsequent encounter
Other contact with turtle, sequela
6
Appendix
However, unspecified codes can raise red flags for auditors and payers when reported frequently. The repeated
use of the unspecified field also will undermine the greater specificity that ICD-10-CM was designed to provide. 11
That’s why physicians should become familiar with the ICD-10-CM codes associated with frequent diagnoses,
and be educated to provide new levels of detail (specific anatomy, laterality, severity, etc.) when providing
documentation to coders. 12
Chapter 5
The “unspecified” field has been a part of the ICD-9-CM coding protocol and will continue with ICD-10-CM.
Codes entitled “unspecified” are used when the information in the medical record is insufficient to assign a more
specific code. In a busy practice, physicians and coders may be tempted to use unspecified codes, rather than
locate the more accurate and appropriate code.
Chapter 4
DESCRIPTION
Chapter 3
Overutilization
of Unspecified
Codes
CODE
Chapter 2
The level of specificity conveyed with ICD-10-CM offers significant advantages, but it may also present challenges. From a clinical perspective, ICD-10-CM
allows doctors to describe precisely what bone was broken or which artery received a stent. The challenge is ensuring the appropriate code is selected. For
example, a pain in the limb is coded as 729.5 with ICD-9-CM. But in ICD-10-CM, there are more than 30 code choices. Moreover, because of the complex
grid system used to generate the ICD-10-CM codes, less common and arguably unlikely scenarios can be accounted for in the coding matrix.
Chapter 1
How Does the Mapping Work?
1:1 MAPPING
ICD-9-CM
ICD-10-CM
733.6
(Tietze’s Syndrome)
M94.0
(Tietze’s Syndrome)
1:3 MAPPING
ICD-9-CM
O26.851
(spotting complications during pregnancy,
first trimester)
649.51
(spotting complications
during pregnancy)
O26.852
(spotting complications during pregnancy,
second trimester)
The International classification of Diseases (ICD) is designed to promote international comparability in the
collection, processing, classification, and presentation of mortality statistics.
7
Appendix
International
Classification of
Diseases, tenth
Revision (ICD-10)
Chapter 5
O26.853
(spotting complications during pregnancy,
third trimester)
Chapter 4
ICD-10-CM
Chapter 3
Other codes will require additional information to map for possible solutions. For instance, the ICD-9-CM code 649.51 (spotting complicating pregnancy)
requires information about weeks in pregnancy to map. There are three options: O26.851 (spotting complicating pregnancy, first trimester), O26.852
(spotting complicating pregnancy, second trimester), and O26.853 (spotting complicating pregnancy, third trimester). 14
Chapter 2
According to the American Academy of Professional Coders, certain ICD-9-CM codes map to ICD-10-CM in a simple one-to-one conversion.
For example, the ICD-9-CM code 733.6 (Tietze’s Syndrome) maps directly to the ICD-10-CM code M94.0. (An exact map does not always mean
the codes match in detail.) 13
ICD-10-CM
1:16 MAPPING
962.9
(poisoning by hormones
and synthetic substitutes)
Chapter 3
T38.801AT38.901A
T38.802AT38.902A
T38.803AT38.903A
T38.804AT38.904A
T38.891AT38.991A
T38.892AT38.992A
T38.893AT38.993A
T38.894AT38.994A
ICD-9-CM
ICD-10 TO ICD-9
ICD-9 TO ICD-10
NO MATCH
1.2%
3.0%
1-TO1 EXACT MATCH
5.0%
24.2%
1-TO-1 APPROXIMATE MATCH WITH 1 CHOICE
82.6%
49.1%
1-TO-1 APPROXIMATE MATCH WITH MULTIPLE CHOICES
4.3%
18.7%
1-TO-MANY MATCH WITH 1 SCENARIO
6.6%
2.1%
1-TO-MANY MATCH WITH MULTIPLE SCENARIOS
0.2%
2.9%
Appendix
Only 24.2% of ICD-9 codes have an exact match to ICD-10 codes.
Chapter 5
MATCHING CATEGORIES16
Chapter 4
Percentages of the different types of matches between ICD-10 and ICD-9
8
Chapter 2
And some codes require significantly more specificity and map into many more ICD-10-CM code set selections. For example, the ICD-9-CM code 962.9
(poisoning by hormones and synthetic substitutes) has sixteen corresponding ICD-10-CM codes, requiring information about both the cause of the
poisoning and the type of encounter. 15
Chapter 1
More on mapping
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Assessing Software
Vendor Readiness
Chapter 5
Appendix
For current software vendors, key questions include:
17
• Is this product ICD-10 compliant?
Chapter 2
Proactively assessing a software vendor’s readiness to accommodate the ICD-10 system is an important step for providers. Providers should not
assume that vendors are or will be ready for the October 2015 deadline. It is important to determine in advance the extent and nature of the vendor’s
preparations.
Chapter 1
Assessing Software Vendor Readiness
• Will this product ever be ICD-10 compliant?
Other important questions for current software vendors include:
• When do you plan to start and complete your ICD-10 internal testing?
• When do you plan to start and complete customer review and/or beta testing?
• When do you plan to start and complete customer training on these updates?
• What is your estimated release date for customer use/installation? 18
Selecting the right codes
Ensuring that those codes are justified
Interfacing coded data correctly to billing systems
Educating billing teams about appropriate codes
Providing documentation feedback and education to physicians
10
Appendix
•
•
•
•
•
Chapter 5
Is ComputerAssisted Coding
Software the
Answer?
Computer-assisted coding (CAC) has the potential to boost productivity in the face of the inevitable coding
challenges that will surround the ICD-10 transition. Yet it is not a panacea and ultimately, a successful transition
will be as much, or more, dependent on people who are knowledgeable about the ICD-10 regime for: 19, 20
Chapter 4
• What is the product version of your software that will be ICD-10 compliant?
Chapter 3
• What is the timetable for making your product(s) ICD-10 compliant?
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Appendix
???$?
What Will It Cost?
Chapter 1
Costs to Convert
$2.7 million
SIX KEY EXPENSE AREAS
• Increased documentation costs, staff education and training
• Business process analysis of health plan contracts, coverage
determinations and documentation
• Information technology system changes
$285,195
$83,290
TYPICAL SMALL
PRACTICE
TYPICAL MEDIUM
PRACTICE
• Cash flow disruption
Chapter 4
• Changes to super-bills
Chapter 3
PROJECTED TOTAL COST OF THE ICD-10 MANDATE
Chapter 2
A consortium of professional medical societies and organizations, including the Medical Group Management Association, in 2008 retained a consulting
firm to assess the cost impact of the ICD-10 mandate on three different-sized provider practices. The assessment defined a small practice as comprising
of three physicians and two administrative staff; a medium practice as consisting of ten physicians, one full-time coder and six administrative staff; and
a large provider as consisting of one hundred physicians, sixty-four coding staff and fifty-four medical records staff. 21
TYPICAL LARGE
PRACTICE
Chapter 5
As a result of increased claims follow-up and longer durations of account resolution, the Department of
Health and Human Services (HHS) anticipates that the percentage of returned claims following the ICD-10
implementation will more than double the amount typically associated with annual ICD-9 updates. This is
based on analysis of thirty-six months of Medicare returned claims data following annual ICD-9 updates. 22
12
Appendix
Spike in
Returned Claims
Chapter 1
Chapter 2
Chapter 3
Selecting an Experienced ICD-10-CM Partner . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Create a Safe Environment to Learn and Test . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Chapter 5
Coding and Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Chapter 4
We Can Help
Appendix
ICD-10 EDUCATION AND PLANNING
Multiple one- and two-hour educational webinars on ICD-10-CM related topics are available, along with onsite education for larger groups.
Customized webinars can be tailored to individual group requirements. The objective is to help groups plan and prepare for the transition
and to foster physician, executive and staff buy-in.
Chapter 2
With more than 650 certified, phyisician-only coders and experience in almost every medical specialty, McKesson has developed a comprehensive
approach to help providers, administrators and staff successfully and efficiently make the transition to the ICD-10-CM coding system in 2015.
Chapter 1
Selecting an Experienced ICD-10 Partner
Chapter 3
EXAMPLE EDUCATION TOPICS
• Introduction to ICD-10-CM
• ICD-10-CM Readiness Planning
• Specialty Specific ICD-10-CM Impact
Chapter 4
AUDIT the coding of your top diagnoses in order to assess the potential gaps between ICD-9-CM and
ICD-10-CM for individual or multiple specialties
EDUCATE physicians to make sure that clinical documentation procedures capture the increased level
of detail required for ICD-10-CM
CONTRACT with an outside entity to translate codes well in advance of the deadline in order to help
staff manage current workloads without a high level of disruption
14
Appendix
Mitigate your risk. A successful
transition from ICD-9-CM
codes to ICD-10-CM codes on
October 1, 2015, will require
significant advance planning.
TRAIN clinical and administrative staff on new code sets, fraud and abuse regulations and compliance.
Chapter 5
Planning
Starts Now
Chapter 1
Coding and Documentation
Chapter 2
McKesson helps you get a head start on the transition by helping you recognize the ICD-10-CM coding and clinical documentation gaps specific to your
providers and then getting the necessary recommendations and education to make required improvements.
ICD-10 GAP ANALYSIS
• Conduct ICD-10-CM coding and documentation audits
• Evaluate where additional documentation will be required for the new code set
• Map out modifications necessary to achieve appropriate reimbursement
Chapter 3
• Identify a practice’s top 50 most utilized diagnoses codes
• Update charge tickets, super-bills and other revenue cycle tools
23
SHORT-TERM LOSS OF REVENUE
60% of leaders expect short-term cash flow to be negatively impacted
LOSS OF CODING PRODUCTIVITY
Chapter 5
Major ICD-10
Transition
Risks
Chapter 4
We can also analyze the estimated impact on claims processing that the transition to ICD-10-CM will have based on a group’s current specialty, coding
staff and historical claims volume.
Productivity losses anticipated to be 50%-70%
15
Appendix
ERROR RATES
Error rates may rise to 6-10% compared with the typical 3% due to the annual ICD-9 updates
McKesson offers coding services to help mitigate risk through early adoption of ICD-10. By simulating the world under ICD-10-CM in advance of the
deadline, a safe testing ground is put in place before the cutoff date. The objective is to help prevent and reduce the difficulties and cash flow disruptions
that could arise in offices not prepared for ICD 10.
McKesson coders take the documentation, such as surgical or patient notes, and then translate the information into the ICD-10-CM code. In this
way, documentation deficiencies can be quickly identified. Gaps are noted along with any additional specificity detail required to support the most
appropriate level of reimbursement.
Chapter 3
The ICD-10 Code First program is simple and effective. McKesson certified coders begin coding in ICD-10-CM from the start. We take out the middle
step and the additional time needed to translate ICD-9-CM into ICD-10-CM and then back again. With ICD-10 Code First, normal claims processing
continues while advance testing and documentation improvements are being put in place building up to a successful transition.
Chapter 2
ICD-10 CODE FIRST
Chapter 1
Create a Safe Environment to Learn and Test
Helps You Improve Documentation and Minimize Disruption
• Create a safe testing ground for staff and physicians
• Quickly identify documentation deficiencies
• Make adjustments required to support appropriate reimbursement levels
• Accelerate learning curve while processing in ICD-9 continues until the deadline
16
Appendix
ICD-10
Code First
Advantages
Chapter 5
• Prevent office disruption
Chapter 4
The ICD-10 Code First program combines our coding expertise with a proprietary ICD-10 coding engine. Clients gain the benefit of both our experience
and resources to improve documentation, adhere to coding requirements and minimize disruption. The program is designed to work with a number of
certified electronic health record and billing software systems for processing.
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Get Started
Chapter 5
Appendix
Chapter 1
Getting Started is Critical
ICD-10 Readiness Help Line
1-800-722-5187
Chapter 2
Whether you work with McKesson or other coding experts, it is essential that you get started on the ICD-10-CM transition sooner rather than later.
We invite you to call or email us for more information at the following phone number or email address:
[email protected]
Chapter 3
Chapter 4
Appendix
18
Chapter 5
About Us
McKesson Business Performance Services, a part of McKesson Corporation, currently ranked 11th on
the FORTUNE 500, is a leading provider of coding, medical billing and practice management services.
From education and assessment to coding and compliance services, McKesson has over 500 certified
coders working with customers nationwide, across multiple specialties. McKesson supports McKesson’s
Better Health 2020™ strategy which is focused on providing the capabilities needed to reduce costs,
improve financial performance and successfully manage complex payment models. For more information,
visit www.mckesson.com
Chapter 1
Chapter 2
Chapter 3
Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Chapter 5
Footnotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Chapter 4
Appendix
Appendix
Chapter 1
Resources
2009 ICD-10 Final Rule:
Chapter 2
http://www.gpo.gov/fdsys/pkg/FR-2009-01-16/pdf/E9-743.pdf
2012 ICD-10 Final Rule:
http://www.gpo.gov/fdsys/pkg/FR-2012-09-05/pdf/2012-21238.pdf#page=2
http://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/ICD10
Chapter 3
Centers for Medicare & Medicaid Services ICD-10 Website:
CMS ICD-10 Implementation Guide for Small and Medium Practices:
Chapter 4
http://www.cms.gov/Medicare/Coding/ICD10/providerresources.html
American Academy of Professional Coders FAQ:
http://www.aapc.com/icd-10/faq.aspx
Chapter 5
Appendix
20
“New Health Care Standards to Save Up to $6 Billion,” CMS Press Release, 24. Aug. 2012, http://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2012-0829-e-News.pdf
3
“HHS Proposed One-Year Delay of ICD-10 Compliance Date,” CMS Fact Sheet, 9 April 2012,
http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4330&intNumPerPage=10&checkDate=&checkKey=2&srchType=2&numDays=0&srchOpt=0&srchData=icd-10&key
wordType=All&chkNewsType=6&intPage=&showAll=1&pYear=&year=0&desc=&cboOrder=date
4
“ICD-10 FAQ,” American Academy of Professional Coders, http://www.aapc.com/icd-10/faq.aspx
5
“The Differences Between ICD-9 and ICD-10,” American Medical Association Fact Sheet, https://www.unitypoint.org/waterloo/filesimages/for%20providers/icd9-icd10-differences.pdf
6
“ICD-10 Basics for Payers,” Industry Resources for the ICD-10 Transition, CMS, http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10BasicsPayers.pdf
7
“ICD-10 Conversion and Mapping,” American Academy of Professional Coders, http://www.aapc.com/icd-10/conversion-mapping.aspx
8
“ICD-10 FAQ,” American Academy of Professional Coders, http://www.aapc.com/icd-10/faq.aspx
9
“Walked Into a Lamppost? Hurt While Crocheting? Help Is On the Way,” The Wall Street Journal, 11 Sept 2011,
http://online.wsj.com/article/SB10001424053111904103404576560742746021106.html?mod=WSJ_hpp_MIDDLE_Video_Top
“A Code for What Ails You,” The Wall Street Journal,” http://graphicsweb.wsj.com/documents/MEDICALCODES0911/#term=Turtle
11
“A little-known potentially large ICD-10 loophole,” ICD10 Watch, 8 Sept. 2010, http://www.icd10watch.com/blog/a-little-known-potentially-large-icd-10-loophole
12
“Know How Unspecified ICD-9-CM Diagnosis Codes Could Hurt Your Practices Bottom Line,” Getting Paid blog, Kareo, 13 Sept. 2012, http://www.kareo.com/gettingpaid/2012/09/knowhow-unspecified-icd-9-cm-diagnosis-codes-could-hurt-your-practices-bottom-line/
13
“ICD-10 Conversion and Mapping,” American Academy of Professional Coders, http://www.aapc.com/icd-10/conversion-mapping.aspx
14
ibid.
15
ibid.
“Crosswalking Between ICD-9 and ICD-10,” American Medical Association, Fact Sheet 7, 25 Sept 2012, www.ama-assn.org/go/ICD-10
17
“ICD-10 Impact Assessments: How ready are you to assess vendor readiness?” ICD10 Watch, 30 May 2012,
http://www.icd10watch.com/blog/icd-10-impact-assessments-how-ready-are-you-assess-vendor-readiness
18
ibid.
“Why CAC can’t solve all your ICD-10 problems,” ICD10 Watch, 22 Jan 2013, http://www.icd10watch.com/blog/why-cac-cant-solve-all-your-icd-10-problems
20
“CAC & ICD-10: How to evaluate what CAC can do for healthcare providers,” ICD10 Watch, 7 Sept 2011,
http://www.icd10watch.com/blog/cac-icd-10-how-evaluate-what-cac-can-do-healthcare-providers
21
“New ICD-10 study confirms CMS underestimates costs and time required to implement complex new code set,” Fact Sheet, Medical Group Management Association, October 2008
http://www.mgma.com/about/mgma-press-room/press-releases/2007-2012/10-14-2008-new-icd-10-study
22
“HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS Final Rule,” Federal Register, p. 3346, 16 Jan 2009,
http://www.gpo.gov/fdsys/pkg/FR-2009-01-16/pdf/E9-743.pdf
23
ICD-10 Puts Revenue at Risk, Intelligence Report, Health Leaders; July 2011; Health and Human Services, Federal Register Volume 73, #64
21
Appendix
19
Chapter 5
16
Chapter 4
10
Chapter 3
“The ICD-10 Transition: An Introduction,” CMS ICD-10 Industry Resources, http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10Introduction20140819.pdf
2
Chapter 2
1
Chapter 1
Footnotes
Chapter 1
Chapter 2
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