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?

ICD-10 Information

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 regularly.

Look for the New_Item icon to find the most recently added information.

Question of the month 4

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 question

Results from the April 2013 question: Has your coding or billing staff received any training on ICD-10?

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 site.

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.

Question of the Month 4a

ICD-10 News

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 assignment.

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 use.

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 nucc.org.

Recent news items added to other ICD-10 pages New_Item

  • 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).

ICD-10 Decisions

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 ICD-10 Questions mailbox. Please include your contact information in the email, so the ICD-10 team may contact you if more information is needed.

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.

ICD-10 Training

The ICD-10 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

ICD-10 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 (HP).

ICD-10 TESTING - SOFTWARE AND CLEARINGHOUSE VENDORS

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).

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.

ICD-10 ARCHIVE

The ICD-10 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.