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ICD-10
Coding Events
Coding Forum
Coding Resources
Review
the latest edition of
CodeWrite.
Extension of Enforcement Discretion
Period for Updated HIPAA transaction
standards through June 30, 2012
CMS Offers Four New ICD-10 Handbooks
Revenue Integrity Committee hosted by
AlaHa - Questions to representatives of
Medicare, Medicaid, Blue Cross and
United Health
Revenue Integrity Committee (RIC) March
5, 2012
Third Anniversary of ICD-10 Rule
Three years ago, on January 16, 2009, the U.S.
Department of Health and Human Services published
final rules mandating that all organizations covered
by HIPAA upgrade to Version 5010 by January 1, 2012
and transition to ICD-10 coding sets by October 1,
2013. As a result of the enforcement discretion
period for Version 5010, all organizations must
complete their Version 5010 upgrade by no later than
March 31, 2012. Upgrading to Version 5010 is an
important step to take before transitioning to
ICD-10, which is quickly approaching.
To help with this transition, CMS has developed a
number of resources available on the CMS ICD-10
website. These resources include:
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Fact sheets , including:
Ensuring a Smooth Transition to Version 5010,
ICD-10 Transition: An Introduction,
ICD-10 Basics for Medical Practices,
ICD-10 FAQS, and
Talking to Your Vendors about the Transition to
ICD-10.
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Implementation widget,
which outline the steps to take to ensure
compliance with Version 5010 and ICD-10,
available in a
widget format. CMS encourages you to
download or share the widget and take advantage
of printer-friendly versions of the timelines
available for
small provider practices,
large provider practices,
payers, and
vendors .
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Timelines:
Printer-friendly checklists that complement the
widget, which are available for
small providers,
large providers,
payers, and
vendors.
Keep Up to Date on Version 5010 and
ICD-10.
Please visit the
ICD-10 website for the latest news and resources
to help you prepare, and to download and share the
implementation widget today!
CMS debuts web page for ICD-10 CC
and MCC lists
CMS recently
released ICD-10 CC and MCC lists on its web site.
It lists the diagnosis by ICD-10 code, then
indicates whether it qualifies as a CC/MCC, then it
notes exclusions, and offers a description. If the
CC or MCC is allowed with all principal diagnoses,
then the phrase NoExcl follows the CC/MCC indicator.
Otherwise, a link is given to a collection of
diagnosis codes which, when used as the principal
diagnosis, will cause the CC or MCC to be considered
as only a non-CC.
Because the pages list all CC/MCC
alphabetically by ICD-10 code, the list could be
cumbersome if you don’t already know what ICD-10
code you’re looking for. To get around this
difficulty somewhat, type “control F” for the “find
on this page” function and type in the
word/diagnosis you are looking for. This only helps
when the diagnosis appears on a particular page,
however. For example, if you type “infections” under
the “A” page you’ll be able to find all the
infection-related ICD-10 codes on this page but
you’ll have continue to click through the rest of
the alphabet if you don’t know where the code falls.
Editor’s Note: This information was
provided courtesy of ACDIS Advisory Board member
Lynne Spryszak, RN, CCDS, CPC-A, CDI education
director for HCPro, Inc., in Danvers, MA.
CMS offers ICD-10 updates and
training tools
CMS recently updated its Medicare
Severity (MS) Grouper with Medicare Code Editor (MCE)
ICD-10 R1 Pilot Software and its ICD-10 MS-DRG RI
Definitions Manual. Further information is available
on the CMS website at
http://www.cms.gov/ICD10/17_ICD10_MS_DRG_Conversion_Project.asp.
To access the definitions manual, select the link in
the “Related Links Inside CMS” section of the
webpage. To access the software, select the link in
the “Related Links Outside CMS” section of the
webpage.
CMS also recently published
presentations related to its August 3 National
Provider Call titled “ICD-10 Implementation
Strategies for Physicians.” Those interested can
watch the presentation on CMS’ YouTube Channel. An
additional program titled “Implementation Strategies
for Physician and Non-physician Practitioners” is
also available.
CMS also created four podcasts and
transcripts of the August 3 presentation including:
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Podcast 1 of 4: Welcome and
Implementation Strategies for Physicians
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Podcast 2 of 4: Overview and
Presentations by CMS Subject Matter Experts
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Podcast 3 of 4: Question and
Answer Session
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Podcast 4 of 4: Question and
Answer Session Continued
To download the materials, visit the
CMS website at
http://www.cms.gov/ICD10/Tel10/itemdetail.asp?itemID=CMS1249632,
and scroll to the “Downloads” section at the bottom
of the page. To access the video slideshows, select
the links in the “Related Links Outside CMS” section
of the webpage.
Updated CMS Medicare Severity (MS)
Grouper with Medicare Code Editor (MCE)
ICD-10 R1 Pilot Software and Updated
ICD-10 MS-DRG R1 Definitions Manual
Based on public comments, the
Centers for Medicare & Medicaid Services (CMS)
decided to provide the public with an updated
version of the ICD-10 MS-DRGs V28.0 (FY 2011)
Software and Definitions Manual. CMS believes this
software will allow the public to more easily review
and provide feedback on updates to the ICD-10 MS-DRGs.
Further information is available on
the CMS website at
http://www.cms.gov/ICD10/17_ICD10_MS_DRG_Conversion_Project.asp.
To access the definitions manual,
please select the link in the “Related Links Inside
CMS” section of the webpage.
To access the software, please
select the link in the “Related Links Outside CMS”
section of the webpage. |
