An Orientation to ICD 10: - Florida Blue

An Orientation to ICD 10:A Regulatory View – Fundamentals• In January 2011, the DHHS announced the final rules for new medicaldiagnosis and procedure code sets (ICD-10) under HIPAA-AS.• The successful implementation of the new electronic transaction standard(HIPAA 5010) is a pre-requisite to the implementation of ICD-10.• ICD-10 is intended to improve clinical data reporting, improve patient carequality, enhance claim processing and promote increased interoperabilityacross industry stakeholders.• Significant impacts to provider billing and payment processing may berealized across the health care industry if stakeholders fail to collaborate,coordinate and communicate on their ICD-10 initiatives.4