ICD-10 Resources Available Now


KHCA/KCAL is holding an ICD-10 Training May 20-21 in Topeka, KS.  Register Online

Just last week, the Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner told the Healthcare Information and Management Systems Society (HIMSS) technology conference that the International Classification of Diseases, 10th Edition (ICD-10) will go into effect this fall on Oct. 14, 2014 with no further delays.

Who needs to pay attention to this effective date? If your services/program is covered by the Health Insurance Portability and Accountability Act (HIPAA), then transitioning to ICD-10 code sets is mandatory.

While October seems light years away, it is critical for members to start planning now for how they will train their staff in advance of this date to ensure that claims will be properly submitted and payment will happen on and after Oct. 1, 2014. There are many resources and training opportunities we are gathering together to help you meet this mandate, starting with identifying the following training sources. You can find many of the documents and training resources linked below on the members-only section of the Association’s website under Payment Sources.

I. MLN Matters resources

On Feb. 6, CMS released a revised version of MM7492 (now, SE1408), Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10), a re-issue of MM7492, which states that all entities covered under the Health Insurance Portability and Accountability Act (HIPAA) — including nursing facilities — are required to use the ICD-10 code sets in standard transactions adopted under HIPAA. Obtain a complete copy of SE1408.

Also in February, CMS released an MLN Connects video on ICD-10 Coding Basics to ensure that providers are ready to transition to ICD-10 on Oct. 1, 2014. On the video, Sue Bowman from the American Health Information Management Association (AHIMA) provides a basic introduction to ICD-10 coding, and focuses on the similarities and differences between ICD-10 and ICD-9; ICD-10 code structure; and coding processes and examples. Find several ICD-10 videos here.

II. CMS Resources

a. eHealth University
CMS has launched eHealth University, a new go-to resource to help providers understand, implement, and successfully participate in CMS eHealth programs. eHealth University features a full curriculum of materials and information, all in one location. The education modules are organized by level, from beginner to advanced, and simplify complex information in a variety of formats, including fact sheets, guides, videos, checklists, webinar recordings, and more. Find it at http://cms.gov/eHealth/eHealthUniversity.html.

As part of eHealth University, CMS is offering several resources to help you prepare for the Oct. 1, 2014, ICD-10 compliance date. These include:

  • Introduction to ICD-10 — This fact sheet provides an introduction to ICD-10 and explains the key steps for switching to ICD-10.
  • Transition Checklist: Large Practices and Transition Checklist: Small and Medium Practices — These checklists outline tasks and estimated time frames for important ICD-10 transition activities for small, medium, and large practices.
  • Basics for Small and Rural Practices — This beginner-level fact sheet provides basics about the ICD-10 transition for small and rural practices, including background on ICD-10, important questions to answer about ICD-10 preparations, and resources to help prepare for the compliance date.
  • Introduction to ICD-10 for Providers — This in-depth guide for providers explains the background behind ICD-10, why the transition is important, how providers can prepare for ICD-10, and important resources to help with the transition.

Once you have an understanding of the basics of ICD-10 through these beginner-level resources, check out the intermediate and advanced resources also available on the eHealth University website. Also, visit the CMS ICD-10 website for the latest news and resources to help you prepare for the Oct.1, 2014 deadline.

b. CMS ICD-10 industry email updates
Stay up-to-date on ICD-10! Sign up for email update messages here and follow CMS on Twitter.

III. National Government Services

National Government Services (NGS), the Medicare fiscal intermediary for Minnesota, also has an ICD-10 resource website. Please visit their ICD-10 implementation site at http://www.ngsmedicare.com (click on the Countdown to ICD-10 box on the left side of the page) for up-to-date information.

IV. American Health Care Association (AHCA)

Further, you can obtain great resources written specifically for LTC providers from AHCA’s bookstore: ICD-10 Essentials for Long-Term Care: Your Guide to Preparation and Implementation (product 8296) and the IDC-10 CM 2014 Edition (product 8026) at http://www.ahcapublications.org/products.asp?dept=4.