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Resources for ICD-10 Implementation Toolkit

Medical and Surgical Practices


Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices 5010
"New Health Care Electronic Transactions Standards: Versions 5010, D.0,
and 3.0." This four-page fact sheet describes the whys, whats, and whos
of basic information on the new 5010, D.0, and 3.0 transaction standards
required to submit electronic claims.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/Downloads/w5010BasicsFctSht.
pdf
All Practices 5010
"Version 005010 Technical Comments and Responses Supplement,
January 2009." This is a 239-page collection of comments and responses
on the technical design of 5010 addressed by a workgroup of subject
matter experts under the leadership of representatives from Blue Cross
and Blue Shield Association and Electronic Data Services.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/Downloads/X12ResponsestoTec
hnicalCommentsonVersion5010.pdf
All Practices 5010
"5010: Taking Electronic Billing and Electronic Data Interchange to the
Next Level." This is a two-page reference card. Page one provides links to
several pertinent Web sites for 5010 and D.0. Page two shows a timeline
for implementation and steps to prepare for the transition.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/MLNProducts/downloads/5010EDI_Ref
Card_ICN904284.pdf
All Practices 5010
CMS Version 5010 & D.0 & 3.0 Overview Web site. This CMS Web page
contains additional links on resources for 5010 and 3.0. It also includes
links to an overview, background, federal regulations, and policies.
Centers for Medicare
and Medicaid Services http://www.cms.gov/Versions5010andD0/01_overview.asp
All Practices Implementation
"5010 and ICD-10: What They Are and How to Prepare for Them?" This
archived AMA audio webinar provides an overview on implementing ICD-
10, including a detailed nine-step implementation plan, key points, and
AMA resources.
American Medical
Association https://cc.readytalk.com/cc/playback/Playback.do?id=8lhlvg
All Practices Background of ICD
"International Statistical Classification of Diseases and Related Health
Problems (ICD-10): Americanized Version Source Information." This
Unified Medical Language System site provides Web site information for
ICD-10 (not ICD-10-CM) and update frequency.
National Library of
Medicine
http://www.nlm.nih.gov/research/umls/sourcereleasedocs/c
urrent/ICD10AE/
All Practices Background of ICD
WHO International Classification of Diseases (ICD) Web site. This site
provides general information on WHO classification of diseases and ICD-
10.
World Health
Organization http://www.who.int/classifications/icd/en/
All Practices Implementation
Background of ICD-
10-CM/PCS
CMS ICD-10 Web site. This site provides resources and timelines to help
providers, payers, and vendors prepare for the U.S. health care industry's
upgrade to Version 5010 and transition to ICD-10.
Centers for Medicare
and Medicaid Services https://www.cms.gov/ICD10/01_Overview.asp#TopOfPage
All Practices Implementation
CMS ICD-10 Provider Resources Web site. This Web site provides
background and timeline for the change, resources for training and
budgets, and impact on current systems. It includes multiple downloads
on myths and facts and an overview designed for the provider/MD user
of ICD-10.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/05a_ProviderResources.asp#To
pOfPage
All Practices Implementation Budget
"Budgeting for ICD-10." This article explores breaking down costs by
category to help tackle a complex task. Different expenses will peak in
different years, and not all costs will be obvious.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_047957.hcsp
All Practices Implementation Budget
"ICD-10 Implementation Cost Prediction Modeling Tool." This tool assists
users in predicting the financial impact of transitioning to ICD-10.
Developed in Excel, the tool explores the costs incurred in transitioning
to ICD-10, the effect ICD-10 will have on future revenue, and steps that
can be taken to mitigate the costs and risks of moving to ICD-10. The tool
helps users understand the impact of ICD-10 in four key areas: coding,
revenue cycle, project management, and information technology.
Healthcare Information
and Management
Systems Society
http://www.himss.org/content/files/HIMSSICD-
10CostPredictionModeltool.xlsx
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 1
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices Implementation 5010/ICD-10
CMS ICD-10 Industry Email Updates Web site. CMS ICD-10 updates
immediately notify subscribers via e-mail of important information and
reminders about the Version 5010 and ICD-10 transitions.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/02d_CMS_ICD-
10_Industry_Email_Updates.asp#TopOfPage
All Practices
Education and
Training
AHIMA-Approved ICD-10-CM/PCS Trainers Web site. AHIMA-approved
ICD-10 trainers can be found at this web link. The list is divided by state
and whether the professional is approved for ICD-10-CM/PCS or ICD-10-
CM. Also included is a list of ambassadors that may be contacted to
discuss training needs. AHIMA http://www.ahima.org/icd10/trainers.aspx
All Practices ICD-10-CM/PCS Development
AHIMA Code Set Maintenance Web site. This page provides an overview
of the maintenance process for code sets, industry and standards
activities, and links that pertain to code set maintenance. AHIMA http://www.ahima.org/advocacy/codeddata.aspx
All Practices ICD-10-CM Development
"Partial Freeze to ICD-9 and ICD-10 for Smoother Transition." This AMA
fact sheet provides education about important dates on code set freezes.
American Medical
Association
http://www.ama-
assn.org/resources/doc/washington/freezing-icd9-icd10-fact-
sheet.pdf
All Practices Implementation 5010/ICD-10
CMS Medicare Fee-for-Service Provider Resources Web site. This site
provides information and educational resources to providers on the
implementation and transition of ICD-10 and 5010 environment.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/06_MedicareFeeforServiceProvi
derResources.asp#TopOfPage
All Practices ICD-10-CM/PCS Development
"Partial Code Freeze Prior to ICD-10 Implementation." This three-page
MedLearn article announces the ICD-9 and ICD-10 code freezes in effect
for 2012 and 2013.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/MLNMattersArticles/downloads/SE103
3.pdf
All Practices
Education and
Training
"ICD-10 Implementation Information." This nine-page MedLearn article
covers the background, benefits, and structure of ICD-10-CM/PCS and
GEMS. It also includes a section titled What to Do Now in Preparation
for ICD-10 Implementation?
Centers for Medicare
and Medicaid Services
http://www.cms.gov/MLNMattersArticles/downloads/SE101
9.pdf
All Practices
Specialty
Society Implementation
Clinical
Documentation
Improvement
"Ready Your CDI Staff for ICD-10 implementation." This article provides
guidance for implementation of ICD-10 for CDI staff.
Association of Clinical
Documentation
Improvement
Specialists
http://www.hcpro.com/acdis/details.cfm?content_id=25795
4
All Practices
Specialty
Society
Clinical
Documentation
Improvement MSDRGs
"Column: What Impact Will ICD-10 Have on MS-DRG Payments?" This
article provides insight into the financial impact of ICD-10.
Association of Clinical
Documentation
Improvement
Specialists
http://www.hcpro.com/acdis/details.cfm?content_id=25768
8
All Practices
Specialty
Society Implementation
Clinical
Documentation
Improvement
"News: Use OIG Compliance Tips for ICD-10 Implementation." This article
provides insight into the compliance aspect of ICD-10 implementation.
Association of Clinical
Documentation
Improvement
Specialists
http://www.hcpro.com/acdis/details.cfm?content_id=25708
9
All Practices Implementation
Clinical
Documentation
Improvement
"Top Documentation Issues for ICD-10." This article discusses the top 10
documentation issues for ICD-10. They are diabetes mellitus, injuries,
drug underdosing,
cerebral infarctions, AMI , neoplasms, musculoskeletal conditions,
pregnancy, respiratory/vents, and ICD-10-PCS.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049129.hcsp
All Practices ICD-10-CM
International Classification of Diseases, Tenth Revision, Clinical
Modification (ICD-10-CM) Web site. The site provides a synopsis of the
background for ICD-10-CM.
National Center for
Health Statistics http://www.cdc.gov/nchs/icd/icd10cm.htm
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 2
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices ICD-10-CM
"ICD-10-CM Official Guidelines for Coding and Reporting, 2012." This
document outlines guidelines for coding and reporting using ICD-10-CM.
National Center for
Health Statistics
http://www.cdc.gov/nchs/data/icd10/10cmguidelines2012.p
df
All Practices ICD-10-CM
Mapping and
Legacy Data
CMS 2012 ICD-10-CM and GEMs Web site. The 2012 ICD-10-CM files
contain information on the new diagnosis coding system, which is a
replacement for ICD-9-CM, Volumes 1 and 2. Files include coding
guidelines, list code descriptions, tables and index, reimbursement
mappings, and General Equivalence Mappings for ICD-10-CM.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/11b14_2012_ICD10CM_and_GE
Ms.asp#TopOfPage
Practices Performing Inpatient Surgery ICD-10-PCS
"ICD-10-PCS Root Operation Groups: Root Operations that Take Out
Some or All of a Body Part." This article is the first article in a series of
four articles that reviews the coding guidelines regarding root operations.
It explains excision, resection, detachment, destruction, and extraction.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_046693.hcsp
Practices Performing Inpatient Surgery ICD-10-PCS
"ICD-10-PCS Root Operation Groups, Part 2: Root Operations that Take
Out Solids, Fluids, Gases from a Body Part, Involve Cutting or Separation
Only, and Put In OR put Back or Move Some OR All of a Body Part." This
article discusses the root operations of drainage, extirpation,
fragmentation, division, release, transplantation, reattach, transfer, and
reposition.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_046936.hcsp
Practices Performing Inpatient Surgery ICD-10-PCS
"ICD-10-PCS Root Operation Groups, Part 3: Root Operations That Alter
the Diameter/Route of a Tubular Body Part and That Define Other
Repairs." This article reviews the root operations of restriction, occlusion,
dilation, and bypass, as well as control and repair.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_047949.hcsp
Practices Performing Inpatient Surgery ICD-10-PCS
"ICD-10-PCS Root Operation Groups, Part 4: Root Operations That
Always Involve a Device, Involve Examination Only, or Define Other
Objectives." This article reviews the root operations of insertion,
replacement, supplement, change, removal, and revision. It also includes
a discussion on root operations that involve an examination, which are
inspection and mapping. The last portion of the article reviews the root
operations that define other objectives. Those terms are fusion,
alteration, and creation.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048086.hcsp
Practices Performing Inpatient Surgery ICD-10-PCS
Mapping and
Legacy Data
CMS 2012 ICD-10-PCS and GEMs Web site. The site provides the files that
contain information on the new procedure coding system, ICD-10-PCS,
which is a replacement for ICD-9-CM, Volume 3. Files include coding
guidelines, list code descriptions, and tables and index for ICD-10-PCS.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/11b15_2012_ICD10PCS.asp#Top
OfPage
Practices Performing Inpatient Surgery ICD-10-PCS
"2011AA ICD-10-PCS Source Information." This Unified Medical Language
System site provides information on the purpose, description,
metathesaurus scope, and update frequency of ICD-10-PCS.
National Library of
Medicine
http://www.nlm.nih.gov/research/umls/sourcereleasedocs/c
urrent/ICD10PCS/
All Practices Implementation 5010/ICD-10
CMS Implementation Planning Web site. The site contains downloads,
including "ICD-10/Version 5010 Industry Listening Session Summary,"
"CMS ICD-10 Planning Initial Summary of AHIMA Executive Report," "The
Centers for Medicare & Medicaid Services (CMS) ICD-10 Planning AHIMA
Report," and "CMS Impact Analysis."
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/04_CMSImplementationPlanni
ng.asp#TopOfPage
All Practices Implementation
Education and
Training
AHIMA ICD-TEN e-newsletter. This link provides an archived list of ICD-
TEN e-newsletters, which began in August 2010 and are typically
published once a month. These newsletters prepare readers for the
transition to ICD-10-CM/PCS. Each monthly issue contains top emerging
news, educational opportunities, practical information on coding with the
new ICD-10-CM/PCS, preparatory steps for implementation, and more. AHIMA http://www.ahima.org/icd10/newsletters.aspx
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 3
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices Implementation
"Top 10 List: Phase 1, ICD-10-CM/PCS Implementation Plan Development
and Impact Assessment." This document provides a list of the 10 critical
steps in the first phase of implementation during the first quarter 2009-
second quarter 2011.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048748.pdf
All Practices Implementation
"Appendix A: Planning for the ICD-10-CM Transition for LTC Facilities."
This article explains the needs of a facility and their ICD-10
implementation process. The four areas that should be considered are
financial resources, education/training needs, software/hardware
requirements, and compatibility with existing systems. AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048119.hcsp
All Practices Implementation 5010/ICD-10
"The Centers for Medicare & Medicaid Services (CMS) ICD-10 Planning
AHIMA Report." This 306-page report outlines the December 2009 CMS
meeting with healthcare industry representatives and the group's
discussions on the transition to 5010 and ICD-10.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/Downloads/ICD10_Initial_Findi
ngs_Report.pdf
All Practices Implementation 5010/ICD-10
"ICD-10/Version 5010 Industry Listening Session Summary." This three-
page document provides a summary of the December 8, 2009, CMS
meeting with healthcare industry leaders on the transition to 5010 and
ICD-10.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/Downloads/ICD-
10IndustryListeningSessionSummary.pdf
All Practices Implementation Medicaid
CMS Medicaid Resources Web site. The site provides links to a 12-part
series of topics on ICD-10 for state Medicaid agencies.
Centers for Medicare
and Medicaid Services https://www.cms.gov/ICD10/07a_MedicaidResources.asp
All Practices Implementation Medicaid
"State Medicaid ICD-10 Implementation Assistance Handbook." This 180-
page handbook covers the nuts and bolts of ICD-10 implementation for
state Medicaid agencies. It gives advice on organizing the actions
associated with the transition to ICD-10, outlines strategies and activities
to consider in each phase of the transition, and provides a timeline and
recommended next steps for CMS regional offices.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/MedicaidInfoTechArch/downloads/Me
dicaid_ICD-10_Implementation_Assistance_Handbook.pdf
All Practices Implementation Medicaid
CMS ICD-10 Training Segments Web site. This site provides 12
PowerPoint training segments developed by CMS on ICD-10 for state
Medicaid agencies. These segments provide a high level review of the
federal requirements and other aspects of ICD-10 implementation,
designed for state Medicaid mangers that focus on assessment and
planning.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/MedicaidInfoTechArch/07_ICD-
10TrainingSegments.asp
All Practices Implementation
Minnesota Health Information Management Association ICD-10 Web site.
The site provides tips on implementing ICD-10. MNHIMA http://www.mnhima.org/whatsnew/whatsnew1.html
All Practices Implementation Medicaid
Medicaid ICD-10 Implementation Assistance Launch Page. CMCS
developed the ICD-10 Implementation Assistance Navigation Tool to help
the state Medicaid agencies implement and understand ICD-10. There are
three types of assistance on this site: the Medicaid ICD-10
Implementation Assistance Handbook; training modules presented at the
Regional Office ICD-10 Training Workshops; and the ICD-10 Collaboration
Site. Noblis and CMCS https://medicaidicd10.noblis.org/navigation/
All Practices Implementation
"Role-based Model for ICD-10." An AHIMA Web site developed to
identify key tasks and milestones that must be completed within specific
timeframes by specific organizations or specific roles within an
organizations. It includes links to additional resources. AHIMA http://www.ahima.org/icd10/role.aspx
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 4
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices
Education and
Training
"Developing an ICD-10-CM/PCS Coder Training Strategy." This article
outlines how coding managers can ensure their coding staff have
sufficient foundational knowledge of the biomedical sciences; learn the
structure, organization, and unique features of ICD-10-CM/PCS; and
understand how to apply maps and crosswalks between ICD-9-CM and
ICD-10-CM/PCS. It is based on AHIMA's "Role-based Model for ICD-10
Implementation."
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048782.hcsp
Practices Performing Inpatient Surgery ICD-10-CM/PCS Implementation
"The Top 10 List: Phase 2, ICD-10-CM/PCS Implementation Preparation."
This document outlines tasks to help facilitate the process. The list is
intended to highlight key areas and should be used in tandem with the
more complete ICD-10-CM/PCS Transition: Planning and Preparation
Checklist at
www.ahima.org/ICD10. This brief resource identifies key tasks that must
be done in phase 2 of the implementation project, but the steps are not
necessarily listed in the order of completion. The tasks are all interrelated
and may need to be done simultaneously rather than sequentially. HIM
professionals should take an active leadership role in this project by
offering expertise and sharing resources with those involved in ICD-10-
CM/PCS implementation.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049100.pdf
Practices Performing Inpatient Surgery ICD-10-CM/PCS Implementation
"ICD-10-CM/PCS Transition: Planning and Preparation Checklist." This tool
assists with ICD-10 implementation planning.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048737.pdf
Practices Performing Inpatient Surgery ICD-10-CM/PCS Implementation
"From Point A to ICD: Successfully Implementing ICD-10-CM/PCS." This is
free audio seminar from AHIMA. Product number AUDA033011. AHIMA Store
https://www.ahimastore.org/ProductDetailAudioSeminars.a
spx?ProductID=15045
Practices Performing Inpatient Surgery ICD-10-CM/PCS Implementation
"ICD-10-CM/PCS Implementation Action Plan, 2011." This resource can
help with the ICD-10 implementation
California Health
Information Association
https://netforum.avectra.com/eweb/shopping/shopping.asp
x?site=chia&shopsearch=&shopsearchcat=merchandise&pro
ductcat=publications&prd_key=06efc4c9-0ec4-4903-8f98-
All Practices Implementation 5010/ICD-10 CMS ICD-10 and Version 5010 Implementation Timelines Web site
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/03_ICD-
10andVersion5010ImplementationTimelines.asp#TopOfPage
All Practices Implementation
"Implementation Widget and Timelines." This tool assists the user in
identifying and taking action on the timeline benchmarks.
Centers for Medicare
and Medicaid Services http://www.browserspring.com/widgets/cms2/iframe.html
All Practices Implementation
"HIMSS ICD-10 PlayBook." The playbook provides critical information to
assist hospitals, ambulatory centers, practitioners, and their staff in
transitioning to ICD-10.
Healthcare Information
and Management
Systems Society http://www.himss.org/ASP/topics_ICD10Playbook.asp
All Practices
Mapping and
legacy data
"Crosswalk Options for Legacy Systems." Payers that are not ready to
migrate from legacy systems are looking at tactical solutions for making
their existing systems ICD-10 compliant in the near term. Most solutions
involve a crosswalk between old and new code sets, created from four
basic options.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049002.hcsp
All Practices
Mapping and
legacy data
"Reading the Fine Print on ICD-10 Conversions." Automation is a major
help in converting to the ICD-10 code set, but it is not a magical solution.
In fact, skipping a human review of converted systems exposes an
organization to legal and financial risk.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049003.hcsp
All Practices
Mapping and
legacy data
"Crosswalking between ICD-9 and ICD-10." This fact sheet provides
detailed information on the uses of crosswalking and understanding of
GEMs.
American Medical
Association
http://www.ama-
assn.org/resources/doc/washington/crosswalking-between-
icd-9-and-icd-10.pdf
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 5
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices
Mapping and
legacy data MSDRGs
CMS ICD-10 MS-DRG Conversion Project Web site. This site provides
information on the project for using the General Equivalence Mappings
(GEMs) to convert the draft MS-DRGs v28.0 to ICD-10-CM and ICD-10-
PCS. In addition the draft ICD-10-CM/PCS MS-DRG V28 Definitions
Manual is provided.
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/17_ICD10_MS_DRG_Conversion
_Project.asp#TopOfPage
All Practices WHO
WHO ICD Revision Topic Advisory Groups Web site. The link pertains to
WHO and its topic advisory groups.
World Health
Organization http://www.who.int/classifications/icd/TAGs/en/index.html
All Practices
Quality and Patient
Safety Measures
Mapping and
Legacy Data
"Adaption of AHRQ Patient Safety Indicators for use in ICD-10
Administrative Data by an International Consortium." This 2008 study
discusses the conversions of patient safety indicators in the Australian
and German version of ICD-10. It provides some code examples based on
the methodology they used.
Agency for Healthcare
Research and Quality
http://www.ahrq.gov/downloads/pub/advances2/vol1/Adva
nces-Quan_52.pdf
All Practices
Quality and Patient
Safety Measures
Mapping and
Legacy Data
"ICD-9-CM to ICD-10-CM/PCS Conversion of AHRQ Quality Indicators:
Summary of Challenges and Recommendations for AHRQ." This paper
provides a review of ICD-10-CM/PCS and current quality indicators and
the challenges when current ICD-9-CM codes will not be a one-to-one
match.
Agency for Healthcare
Research and Quality http://www.qualityindicators.ahrq.gov/modules
Practices Performing Inpatient Surgery ICD-10-CM/PCS Implementation
"Re-engineering the Coding Workflow: Assessing Today with an Eye
toward Tomorrow." Coding is in the midst of profound change, which
makes this the best time to re-engineer coding workflow. Five steps help
HIM professionals assess and evolve coding workflows with an eye
toward tomorrow.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049040.hcsp
All Practices Implementation
"Growing ICD-10." There are two basic approaches to the ICD-10
transition: (1) a late, mad scramble to get systems converted before the
deadline; or (2) an intentional cultivation that uses the transition to
improve business processes, documentation, and clinical care. Three
organizations offer a picture of the latter approach.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049007.hcsp
All Practices Implementation
"All Together Now: Planning for ICD-10, ARRA, and the Affordable Care
Act." This article discusses the relationship of ICD-10 to other healthcare
initiatives such as ARRA and Affordable Care Act.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/secure/documents/a
hima/bok1_049000.hcsp
All Practices
Quality and Patient
Safety Measures
Mapping and
Legacy Data Retooling Quality Measures for ICD-10.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/secure/documents/a
hima/bok1_047550.hcsp
All Practices Implementation
"CMS ICD-10 Planning" Initial Summary of AHIMA Executive Report." This
15-page report summarizes a more extensive AHIMA report chronicling
CMS business process that would be impacted by an ICD-10 transition.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/Downloads/AHIMASummary.p
df
All Practices Implementation Billing
"Medicare Fee-For-Service (FFS) Claims Processing Guidance for
Implementing International Classification of Diseases, 10th Edition (ICD-
10)."
Centers for Medicare
and Medicaid Services
http://www.cms.gov/MLNMattersArticles/downloads/MM7
492.pdf
All Practices
Quality and Patient
Safety Measures
"Physician Quality Reporting System and ICD-10 Conversion Milestones."
This report provides conversion timeframes for the physician quality
reporting system (PQRS).
Centers for Medicare
and Medicaid Services
https://www.cms.gov/PQRS/Downloads/PQRS_and_ICD-
10_Conversion_Milestones05-10-11.pdf
All Practices
Quality and Patient
Safety Measures
2012 ICD-10 Comment Period: March 15-April 16, 2012 Web site. On
March 15, 2012 NCQA will post the measures below for review and
comment. NCQA will post only tables of ICD-10 codes for review;
organizations must refer to HEDIS 2012 Volume 2: Technical
Specifications for the complete measure specifications.
National Committee for
Quality Assurance http://www.ncqa.org/tabid/1261/Default.aspx
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 6
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices
Quality and Patient
Safety Measures
Mapping and
Legacy Data
"ICD-10-CM/PCS Coding Maintenance Operational Guide." This site
provides guidance to NQF, measure developers, and stewards on how to
prepare for the conversion of quality measures to ICD-10-CM/PCS. NQF
membership is required to access the full report. Abridged version is
available at no charge. National Quality Forum
http://www.qualityforum.org/Publications/2010/10/ICD-10-
CM/PCS_Coding_Maintenance_Operational_Guidance.aspx
All Practices Regulatory Impact
"The Impact of ICD-10 on Non-Covered Entities." The ICD-10-CM/PCS
final rule requires HIPAA covered entities adopt the ICD-10-CM and ICD-
10-PCS code sets by October 1, 2013. Adoption is not required for
noncovered entities such as property and casualty insurance health
plans, workers' compensation programs, and disability insurance
programs that submit noncovered transactions like paper claims, quality
reporting, and patient assessment data sets.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048535.hcsp
All Practices Regulatory Impact
"Changes Ahead in Data Standards." HIM professionals are most familiar
with the data standards mandated through HIPAA. However, the data
standard adoption process is also now part of the requirements for EHR
technology in the meaningful use program. Understanding the data
standards adoption process under HIPAA and the meaningful use
program can help HIM professionals prepare for and implement the data
standards changes necessary to implement ICD-10-CM/PCS for each
initiative.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/secure/documents/a
hima/bok1_049006.hcsp
All Practices Regulatory Impact
"Aligning ICD-10: Federal Initiatives Recognize the Value of Integration."
This article discusses the impact of ICD-10 on regulatory initiatives,
including HIPAA transactions, meaningful use and value-based
purchasing, and terminologies and classifications.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/secure/documents/a
hima/bok1_049012.hcsp
All Practices Regulatory impact 5010/ICD-10
"HHS Modifies HIPAA Code Sets (ICD-10) and Electronic Transaction
Standards Overview." This is the CMS fact sheet of the final 1CD-10
implementation rule released on January 15, 2009.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/apps/media/press/factsheet.asp?Cou
nter=3407&intNumPerPage=10&checkDate=&checkKey=2&s
rchType=2&numDays=0&srchOpt=0&srchData=icd%252D10
&keywordType=All&chkNewsType=6&intPage=&showAll=1&
All Practices Regulatory Impact 5010/ICD-10
CMS Statute and Regulations Web site. This site contains links to the final
rule and transitions and code sets regulations.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/10a_Statute_Regulations.asp#T
opOfPage
All Practices Regulatory Impact 5010/ICD-10
CMS Transactions and Code Set Regulations Web site. This site provides
the final rules for the standards for electronic transactions and the ICD-10
final rule. It also provides additional downloads.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/TransactionCodeSetsStands/02_Trans
actionsandCodeSetsRegulations.asp
All Practices Implementation
ICD-10 Implementation Handbooks. CMS has developed four
implementation handbooks as additional resources to assist the
healthcare industry with the transition from ICD-9 to ICD-10 codes. Each
guide provides detailed information for planning and executing the ICD-
10 transition process. Use the guides as a reference whether you're in the
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/02b_Latest_News.asp#TopOfPa
ge
All Practices Final rule, 5010
"Health Insurance Reform; Modifications to the Health Insurance
Portability and Accountability Act (HIPAA); Final Rules." This is the link to
the Federal Register on the final rule for version 5010 published January
16, 2009, 34 pages. Federal Register http://edocket.access.gpo.gov/2009/pdf/E9-740.pdf
All Practices Final Rule, ICD-10
"HIPAA Administrative Simplification: Modifications to Medical Data Code
Set Standards to Adopt ICD-10-CM andICD-10-PCS." This link is to the 35-
page Federal Register containing the final rule for ICD-10 published
January 16, 2009. Federal Register http://edocket.access.gpo.gov/2009/pdf/E9-743.pdf
All Practices
Education and
Training
AHIMA Recertification Web site. This link outlines the standards for
recertification as documented by CCHIIM. Each AHIMA credential is listed
along with the ICD-10-CM/PCS requirements for continuing education. AHIMA http://www.ahima.org/certification/recertification.aspx
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 7
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices ICD-10-CM
"Coding Injuries in ICD-10-CM." ICD-10-CM provides greater specificity in
coding injuries than ICD-9-CM. While many of the coding guidelines for
injuries remain the same as ICD-9-CM, ICD-10-CM does include some new
features, such as seventh character extensions.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_048533.hcsp
All Practices
Education and
Training
CMS Sponsored ICD-10 Teleconferences Web site. CMS has hosted a
variety of national provider education teleconferences regarding the
change from ICD-9 to ICD-10. The site provides the PDF files for all calls
and even podcasts for some of the calls that have been held on ICD-10-
CM or PCS.
Centers for Medicare
and Medicaid Services http://www.cms.gov/ICD10/Tel10/list.asp#TopOfPage
All Practices Implementation
CMS Latest News Web site. Site provides updates on activities and
educational opportunities, including national provider teleconferences.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/02b_Latest_News.asp#TopOfP
age
All Practices
Education and
Training
"Get Body Smart." This is an online textbook about human anatomy and
physiology. Get Body Smart http://www.getbodysmart.com/
All Practices
Specialty
Society Implementation
Background of ICD-
10-CM/PCS "ICD-10 Checklist."
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd10-
checklist.pdf
All Practices
Specialty
Society Implementation ICD-10-CM "ICD-10 Project Plan Template" under AMA Educational Resources.
American Medical
Association
http://www.ama-assn.org/ama/pub/physician-
resources/solutions-managing-your-practice/coding-billing-
insurance/hipaahealth-insurance-portability-accountability-
act/transaction-code-set-standards/icd10-code-set.page
All Practices
Specialty
Society Implementation
Background of ICD-
10-CM/PCS
"ICD-10 101: What It Is and Why Its Being Implemented." This a fact
sheet defines ICD-10-CM and PCS why it is being implemented.
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd10-
overview-fact-sheet.pdf
All Practices
Specialty
Society
Education and
Training
Background of ICD-
10-CM/PCS
"The Differences between ICD-9 and ICD-10." This fact sheet explains the
key differences between the two code sets and provides examples.
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd10-
icd9-differences-fact-sheet.pdf
All Practices
Specialty
Society Implementation ICD-10-CM
"Implementing ICD-10 in Your Practice--Part One." This fact sheet
provides information, guidance, and checklists to implement ICD-10 with
important lists of questions to consider.
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd10-
practice-implementation-part-1.pdf
All Practices
Specialty
Society Implementation ICD-10-CM
"Implementing ICD-10 in Your Practice Part 2." This fact sheet continues
to provide information on system changes and training staff.
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd10-
practice-implementation-part-2.pdf
All Practices
Specialty
Society Implementation ICD-10-CM
"Testing Your Readiness for ICD-10." This fact sheet explains the testing
(internal and external) needed for implementation of the ICD-10 code
set.
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd-10-
readiness-testing.pdf
All Practices
Specialty
Society Implementation ICD-10-CM
"ICD-10 Timeline: Meeting the Compliance Date." This fact sheet provides
steps for implementation of ICD-10 by October 1, 2013, and advice post
implementation.
American Medical
Association
http://www.ama-assn.org/resources/doc/washington/icd10-
timeline-fact-sheet.pdf
All Practices
Specialty
Society Implementation ICD-10-CM
"Preparing for the Conversion from ICD-9 to ICD-10: What You Need to
Be Doing Today." This nine-page article provides advice on
implementation including changes to clinical and administrative systems,
reasons to convert now, advice on preparation including communication
with vendors, billing services, payers, work flow, business processes,
staff training, and testing.
American Medical
Association
http://www.ama-
assn.org/resources/doc/washington/preparing-for-the-
conversion-from-ICD9-ICD10.pdf
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 8
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices
Specialty
Society
American
Association of
Orthopaedic
Surgeons ICD-10-CM
ICD-10 search on the American Association of Orthopaedic Surgeons Web
site. The site provides links to other sites and articles on ICD-10.
American Association
of Orthopaedic
Surgeons
http://www3.aaos.org/search/search.asp?client=my_collecti
on&site=my_collection&output=xml&ie=&lr=&q=ICD-
10&btnG=Search
All Practices
Specialty
Society
American Clinical
Laboratory
Association ICD-10-CM
ICD-10 search on American Clinical Laboratory Association Web site. This
site provides documents relating to ICD-10.
American Clinical
Laboratory Association http://www.acla.com/icd-10
All Practices
Specialty
Society
American
Optometric
Association ICD-10-CM
ICD-10 search on the American Optometric Association Web site. This site
provides several links for additional ICD-10 information, including links to
CMS and podcast information.
American Optometric
Association http://www.aoa.org/x15504.xml
All Practices
Specialty
Society
American Physical
Therapy Association ICD-10-CM
ICD-10 search on American Physical Therapy Association Web site. ICD-10
information includes links to CMS; online education through WHO, and
comments on the proposed rule.
American Physical
Therapy Association http://www.apta.org/search.aspx?q=ICD-10/
All Practices
Specialty
Society
American Society of
Anesthesiogists ICD-10-CM
ICD-10 search on American Society of Anesthesiologists. Site includes
links to multiple ICD-10 related articles and publications.
American Society
of Anesthesiogists
https://www.asahq.org/For-Members/Member-
Login.aspx?redirUrl=https://myasa.asahq.org
All Practices Implementation ICD-10-CM "ICD-10 Implementation Strategies for Physicians National Provider Call."
Centers for Medicare
and Medicaid Services
http://www.cms.gov/ICD10/Tel10/itemdetail.asp?filterType
=none&filterByDID=-
99&sortByDID=1&sortOrder=descending&itemID=CMS12496
32&intNumPerPage=10
All Practices
Specialty
Society Implementation Budget
"New ICD-10 Study Confirms CMS Underestimates Costs and Time
Required to Implement Complex New Code Set" fact sheet. This MGMA
press release includes several links to medical societies.
Medical Group
Management
Association http://www.mgma.com/press/default.aspx?id=22586
All Practices Implementation Vendor
"Getting the Best from Your ICD-10 Vendor." This article reviews
implementation steps on a high level on getting the vendor involved in
the ICD-10 strategy.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049130.hcsp
All Practices Implementation Vendor
AHIMA Form Letter for Vendors Regarding ICD-10. This form letter can
help organizations audit their vendors plans regarding ICD-10
compliance. It also includes a vendor questionnaire.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049133.pdf
All Practices Implementation Vendor
CMS Vendor Resources Web site. This site is directed at vendor readiness
for the ICD-10 transition.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/09a_Vendor_Resources.asp#To
pOfPage
All Practices Implementation Vendor
"Talking to Your Customers about ICD-10 and Version 5010: Tips for
Software Vendors." This is a two-page tip sheet on talking to software
vendors about ICD-10 and 5010 compliance.
Centers for Medicare
and Medicaid Services
https://www.cms.gov/ICD10/Downloads/ICD10TalkingtoCus
tomersforVendors20100409.pdf
All Practices
Education and
Training
"ICD-10--The New Teacher's Pet." This article talks about teaching ICD-10
in academia beginning fall 2011.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/public/documents/a
hima/bok1_049099.hcsp
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 9
Resources for ICD-10 Implementation Toolkit
Medical and Surgical Practices
Specialty
Societies Key Word 1 Key Word 2 Description Organization Website URL
All Practices ICD-10-CM
"Coding UTI to Sepsis in ICD-9-CM and ICD-10-CM." This article reviews
the causes of UTI and sepsis as well as the differences in coding between
ICD-9-CM and ICD-10-CM.
AHIMA Body of
Knowledge
http://library.ahima.org/xpedio/groups/secure/documents/a
hima/bok1_048694.hcsp
All Practices
Specialty
Society
American Academy
of Dermatology ICD-10-CM
ICD-10 Search on American Academy of Dermatology Web site. This Web
site is mainly restricted to members but offers some ICD-10 resources.
American Academy of
Dermatology http://www.aad.org/
All Practices ICD-10-CM/PCS
ICD10Data.com Web site. This is a free ICD-10 medical coding Web site.
ICD10Data.com takes the ICD-10 coding book and adds more than 4.2
million cross-references between codes to make finding what you need
faster and easier than ever before. It provides the ICD-10 coding books
with more than 10.6 million hyperlinks between codes to make it faster
and easier to find what you need. ICD10Data.com http://www.icd10data.com/
All Practices Implementation State-Specific
2011 Strategic Goals for the Ohio Department of Job and Family Services,
page 16 or 19. This PDF identifies the short- and long-term strategy for
ICD-10 implementation.
Ohio Department of
Job and Family Services http://jfs.ohio.gov/aboutus/ODJFSstrategicPlan.pdf
All Practices Implementation State-Specific
Ohio Department of Job and Family Services MITS News, February 2009.
At the time of the publication the new Medicaid Information Technology
System implementation will have been completed. This system will allow
for 5010 compliance and the ability for providers to submit ICD-10 codes
in the future.
Ohio Department of
Job and Family Services http://jfs.ohio.gov/mits/newsletter/MITS_0209.pdf
AHIMA ICD-10 Implementation Toolkit - Review Draft - Do not cite or quote 10