An Orientation to ICD 10: - Florida Blue

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An Orientation to ICD 10:A Provider and Payer PerspectiveSession Objectives:1. To increase your understanding of the current state of ICD-10; recentregulatory decisions and industry perspectives.2. Increase your awareness and understanding of the challenges thatICD-10 brings to Providers and Payers.3. To provide you with some tools, techniques and helpful hints thatcould be used as you begin your ICD-10 preparations.2
An Orientation to ICD 10:Current State• On February 2, 2012, the AMA sent a letter to DHHS requesting that they consider delaying theimplementation of ICD-10:http://www.ama-assn.org/resources/doc/washington/icd-10-comment-letter-02feb2012.pdf• On February 16, 2012, the DHHS announced its intent to delay ICD-10:https://www.cms.gov/Medicare/Coding/ICD10/downloads//HHSPressReleaseICD10final321612.pdf• On March 15, 2012, CMS/WEDI issued a summary report on the most recent ICD-10 readiness survey:http://wedi.org/cmsUploads/pdfUpload/commentLetters/pub/WEDI_ICD-10_Progress_Survey_Final_[03-16-2012].pdf• On April 9, 2012, DHHS announced a proposed rule that would delay the compliance date for ICD-10from October 1, 2013 to October 1, 2014:https://www.cms.gov/apps/media/press/release.asp?Counter=4329&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date• On June 19, 2012, delegates at AMA's Annual Meeting adopted a policy to evaluate ICD-11 as analternative to replace ICD-9. The AMA will conduct more research on this issue and will report back tothe House of Delegates in 2013.http://www.ama-assn.org/ama/pub/news/news/2012-06-19-ama-adopts-new-policies.page• UPDATE: On August 8, 2012, DHHS sent the ICD-10 Final Rule to OMB (Office of Management andBudget) which is the last step before publication. We are hoping that OMB’s review and approval willoccur this month.3
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Page 5 and 6: An Orientation to ICD 10:A Regulato
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Page 13 and 14: The Requirement Planning / Initial
Page 17 and 18: Systems / Applications Resource Req
Page 19 and 20: Build and Unit Test◦ Systems and
Page 21 and 22: From initial capture of codes at pr
Page 23 and 24: Post Live Monitoring◦ Analyze out
Page 25 and 26: ICD 10:A Payer’s PerspectiveGeorg
Page 27 and 28: An Orientation to ICD 10:A Payer’
Page 33 and 34: An Orientation to ICD-10:Next Steps

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