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‚óŹ Dashboard: ICD-10

Resources New ICD-10 resources for providers from CMS

The Centers for Medicare & Medic- aid Services wants to remind you that the

ICD-10 compliance date for entities covered by the Health Insurance Portability Accountability Act (HIPAA) is less than a year away, so it’s important for healthcare providers, hospitals, payers and vendors to prepare for the transition now. All entities covered by HIPAA are required to make the transition, not just those who submit Medicare or Medicaid claims. CMS has released new educational resources to help providers with each phase of the ICD-10 implementation pro- cess, including: Online ICD-10 Guide, Introduction to ICD-10, Role of Clearinghouses in ICD-10 Transition, Basics for Small and Rural Practices, and an ICD-10 Resources Flyer. T ese resources and more, including a sign-up for email updates and access to two free Medscape Education modules, are available through the CMS website at

Key HIPAA transaction guidance for ICD-10 codes

T e Workgroup for Electronic Data Interchange (WEDI)

has released a new ICD-10 issue brief co-written with ASC X12 entitled, “ICD-10 Impact to HIPAA Transactions.” T e issue brief was developed to help the healthcare industry better understand where to focus transaction testing to ensure that codes are correctly placed and formatted within the transactions. T e brief is available at

ICD-10 National Pilot Program Outcomes Report

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T e HIMSS/WEDI ICD-10 Na- tional Pilot Program was established as an industry-wide, collaborative concept to assist the healthcare industry in its ef- fforts to prepare for ICD-10 testing. T e program was designed to share best prac- tices of, and lessons learned from, early- adopter/early-mover organizations partici-


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pating in actual fi nancial transaction testing. T e Pilot Program used de-identifi ed, real medical records as “medical test cases.” T e ICD-10 National Pilot Program Outcomes Report was released on Oct. 23, 2015, and provides: • General ICD-10 information important for the ICD-10 novice reader;

• An overview of the ICD-10 National Pilot Program; • Outcomes data from early testing with organizational coders; • Best practices from health plan and provider participants; and • Awareness and education regarding the outcomes of the pilot program.

Download the full report at 22 January 2014

ICD-10 consulting rankings from KLAS Research, Best in KLAS Software and Services

1. Advisory Board: Advisory Board ICD-10 Consulting (93.8) 2. 3M: 3M ICD-10 Consulting (90.8) 3. Deloitte: Deloitte ICD-10 Consulting (89.7) 4. PwC: PwC ICD-10 Consulting (86.9) 5. Ernst & Young: Ernst & Young ICD-10 Consulting (79.5)

* Rankings were calculated in December 2012. 2013 rankings will be released at the end of January 2014.

Are you ready? These service providers are

SSI Group, Inc., one of the country’s largest independent medical billing clearinghouses, says that both its clearinghouse services and revenue cycle management solutions are ICD-10 ready and that it is actively involved in testing with provider and payer communities to ensure a smooth transition to the new coding standard. SSI is actively testing ICD-10-based transac- tions with the payer community by participating in the WEDI and CMS pilots.

RelayHealth Financial, McKesson’s connectivity business, announced in November 2013 that all of its fi nancial connec- tivity solutions meet the current ICD-10 standards one year ahead of the U.S. federal government deadline. T e company also announced an ICD-10 end-to-end testing program at no cost to its customers, so they can initiate testing with their pay- ers. “If ICD-10 were implemented today, we could process our customers’ claims,” says Joshua Berman, ICD-10 director for RelayHealth Financial.

ZirMed, a specialist in health information connectivity and management, is providing a multi-purpose educational and mapping tool as part of its proactive payer and partner strategy that will help clients identify appropriate ICD-10 codes and back-code from ICD-10 to ICD-9. ZirMed is also creating a list of the most commonly used input codes for providers to use as a reference to prepare for the transition. “While the mapping tool provides a ‘quick fi x’ to help ease the process, we are also giving our clients the resources and tools so they can learn from errors as quickly as possible and be able to code natively and submit codes correctly the fi rst time,” says Betty Gomez, director of regulatory strategy, ZirMed.

Planning worksheet To help all providers navigate ICD-10, TriZetto Provider Solu-

tions off ers a free ICD-10 Implementation Planning Worksheet that includes a list of preparation steps and suggested timeline for transitioning to ICD-10. Providers can also fi nd other helpful ICD- 10 resources at


ICD-10 National Pilot Program: Outcomes Report

October 21, 2013

October 21, 2013

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