As of the end of April, only 17 months remain before the
implementation of ICD-10. ICD-10 is real, and it's closer than you
think. Have you begun preparing?
Check this page frequently - it contains pertinent and useful
information about the implementation of the International
Classification of Diseases, Tenth Revision (ICD-10). The Indiana
Health Coverage Programs (IHCP) ICD-10 team updates this page
Look for the icon to find the most
recently added information.
ICD-10 question of the month
Each month, we will poll our readers about an ICD-10 topic. The
following month, we will post the results on this page and in the
IHCP Provider News, along with a
new question. Email your response to us by clicking the link
associated with your answer. Include any additional information you
want to share in the body of your email.
Thank you for responding to the April 2013
Results from the April 2013 question:
Has your coding or billing staff received any training
Please note, you may continue to reply to last month's question
by clicking the appropriate response and including any additional
information you want to share in the body of the email.
May 2013 Question of the Month
Have you and your staff been coding at least one claim a
day in both ICD-9 and ICD-10?
Click on your response and include any additional information
you want to share in the body of the email.
Implications of May 2013 question
Tip from the OMPP, ISMA, and IHA: To become familiar
with the complexity of coding claims in ICD-10 versus ICD-9, the
IHCP suggests you practice by coding the first claim of each day
using both ICD-10 and ICD-9 codes. This will allow physicians'
staffs to become familiar with the new coding system.
The IHCP encourages you to use these ICD-10-coded claims for
testing with the IHCP through your software vendor and
clearinghouse during the vendor testing timeframe. For more
information, see the ICD-10
Testing page - Software Vendors and Clearinghouses on this
Limited provider response is cause for concern!
Help us help you by responding to IHCP outreach efforts. Poll
responses suggest that IHCP providers may not be approaching the
transition to ICD-10 with the urgency it demands. The magnitude of
this project requires providers to be pro-active in their
preparations. Even though implementation is not until October 1,
2014, now is the time to become familiar with the new code set and
to prepare your systems and your staff. It takes only a minute to
answer the Question of the Month and your response will help us
work together to successfully implement ICD-10. Remember: We
are all in this together.
This section offers news items that are important to you and to
the ICD-10 Compliance Project.
ICD-10 implementation date is October 1, 2014
The Department of Health and Human Services (HHS) announced the
adoption of 45 CFR Part 162
final rule delaying the ICD-10 implementation date to October
1, 2014, with no exceptions.
3M™ APR-DRG for ICD-10
On June 7, 2012, the IHCP selected the 3M All Patient Refined
(APR) Diagnosis-Related Group (DRG) as the grouper for ICD-10, DRG
NUCC approves a revised 1500 Health
Insurance Claim Form
On March 27, 2012, the
National Uniform Claim Committee (NUBC) announced the release of a
revised version of the 1500 Health
Insurance Claim Form (version 02/12). This revised version will
update the current 1500 Claim Form (version 08/05), often referred
to as the "HCFA 1500" or "CMS-1500." This revision is not fully
approved and is not currently accepted for claim submissions. You
will be notified when it is approved and available for
The CMS-1500 form revision includes
changes to accommodate ICD-10 code changes, but does not rely on
the implementation of ICD-10 to become active. More information is
available from the NUCC website at
Recent news items added to other ICD-10
- CMS ICD-10 Implementation Handbooks. CMS has
updated its ICD-10 implementation handbooks for providers - see
links to the March 2013 handbooks on the ICD-10 Training
page on this site.
- How to Assess Healthcare Vendor Readiness.
You'll find a link to tips for assessment on the ICD-10
General Resources page.
- CMS End-to-End Testing Checklists. See the ICD-10
General Resources page to find links to these testing
checklists drafted by National Government Services (NGS).
When ICD-10 issues are under consideration, they will be
published here, and you will be invited to provide input and ask
questions that will help HP make decisions. We encourage you to
visit the ICD-10 Decisions page and
weigh in on the topics featured there by submitting comments to the
mailbox. Please include your contact information in the
email, so the ICD-10 team may contact you if more information is
ICD-10 Frequently Asked Questions (FAQs)
If you have questions about ICD-10, you aren't alone. Answers to
questions posed by providers, vendors, and attendees at workshops,
seminars, and association meetings appear in IHCP provider
newsletters...in monthly ICD-10 status presentations by ICD-10 team
members and HP Provider Relations Consultants...and on the ICD-10 FAQs page
on this site.
Training page provides a list of training
materials, presentations, and classes offered by well-known
professional associations and agencies. These links will help you
find the training that fits your needs. The entries are
updated frequently, so visit often.
ICD-10 TESTING - MCES AND EXTRACT VENDORS
Testing - MCEs And Extract Vendors page is for entities that
are or will be testing for the International Classification of
Diseases, Tenth Revision (ICD-10). This includes managed care
entities (MCEs) and entities processing extracts
and interfaces with Hewlett-Packard Enterprise Services
ICD-10 TESTING - SOFTWARE AND CLEARINGHOUSE
ICD-10 Testing - Software And Clearinghouse Vendors web page
contains useful information for software and clearinghouse vendors
regarding vendor testing for the implementation of the
International Classification of Diseases, Tenth Revision
ICD-10 General Resources
Although not all-inclusive, the ICD-10 General Resources page
includes information about ICD-10 from a variety of sources:
- The Centers for Medicare & Medicaid Services (CMS)
- The Family and Social Services Administration (FSSA)
- The American Medical Association (AMA)
- And more
You'll also find other resources right here on indianamedicaid.com.
Archive page is a repository for ICD-10 links and information
dating back several years, including ICD-10 IHCP surveys of vendors
and providers conducted in 2011 and 2012.
ICD-10 Questions mailbox
If you have questions about ICD-10 that you would like the
ICD-10 team to address, please submit your questions to INXIX.ICD10Questions@HP.com. We'll
get back to you with an answer - and we may add your question, and
the answer, to the ICD-10 FAQs page on this site.