Apendix A

AHIMA ICD-10-Implementation Toolkit. Appendix A; Review Draft; Do not Cite or Quote 1

No. Topic Key Words Description Source Website URL1 AAPC

2

3

4 CSA Websites AHIMA

5 AHIMA

6 AHIMA

7 Training AHIMA

8 Training AHIMA

Mapping and Legacy Data

ICD-9 to ICD-10 Mapping: One-page reference sheet showing how the code sets are organized, with color coding and mnemonic tips to help locate the new codes.

http://www.aapc.com/ICD-10/icd9-icd10-reference-sheet.aspx

Process/System Impact

Quality and Patient Safety Measures

"Adaption of AHRQ PSI's for use in ICD-10 Administrative Data by an International Consortium." Paper describing a 2008 study that explored the conversions of patient safety indicators in the Australian and German version of ICD-10. It provides some code examples based on the methodology used.

Agency for Healthcare Research and Quality

http://www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Quan_52.pdf



"ICD-9-CM to ICD-10-CM/PCS Conversion of AHRQ Quality Indicators: Summary of Challenges with Recommendations for AHRQ." Paper reviewing 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

Links to AHIMA Component State Association websites, which can be monitored for ICD-10-CM/PCS information.

http://www.ahima.org/about/csa.aspx

Development of ICD-10-CM/PCS

Code Sets Maintenance

A web page providing ICD-10 overview, industry and standards activities, and links that pertain to code set maintenance.

http://www.ahima.org/advocacy/codeddata.aspx

Implementation Issues

Implementation Strategy, Training

Link to the archives of AHIMA's ICD-TEN e-newsletter, which prepares 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.

http://www.ahima.org/icd10/newsletters.aspx

Implementation Strategy

An AHIMA website developed to identify key tasks and milestones that must be completed within specifictimeframes by specific organizations or specific roles within an organizations. Includes links to additional resources

http://www.ahima.org/icd10/role.aspx

AHIMA Credential Maintenance of Certification

Information on the Standards for Recertification as documented by CCHIIM. Each AHIMA credential is listed along with the ICD-10-CM/PCS requirements for continuing education.

http://www.ahima.org/certification/recertification.aspx

http://www.aapc.com/ICD-10/icd9-icd10-reference-sheet.aspx

http://www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Quan_52.pdf

http://www.qualityindicators.ahrq.gov/modules

http://www.ahima.org/about/csa.aspx

http://www.ahima.org/advocacy/codeddata.aspx

http://www.ahima.org/icd10/newsletters.aspx

http://www.ahima.org/icd10/role.aspx

http://www.ahima.org/certification/recertification.aspx


No. Topic Key Words Description Source Website URL9 Training AHIMA

10

11 Budgetary Issues

12

13 Coding Guidance ICD-10-PCS




A list of AHIMA-approved ICD-10-CM/PCS trainers by state. Also included at this link is a list of ICD-10 "ambassadors," who may be contacted to discuss training needs.

http://www.ahima.org/icd10/trainers.aspx


"ICD-10 Reimbursement Mappings: New Mappings from CMS Help Organizations in the Transition to ICD-10"

AHIMA Body of Knowledge

http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_043242.hcsp

The article "Budgeting for ICD-10" offers guidance on budgeting by category and year.



Documentation Improvement

"Top Ten Documentation Issues for ICD-10" summarizes a presentation at AHIMA's 2011 AHIMA ICD-10 Summit.



"ICD-10-PCS Root Operation Groups: Root Operations that Take Out Some or All of a Body Part" is the first article in a series of four articles that review the coding guidelines regarding root operations. This article explains Excision, Resection, Detachment, Destruction, and Extraction.



"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" discusses the root operations of Drainage, Extirpation, Fragmentation, Division, Release, Transplantation, Reattach, Transfer, and Reposition.



"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" reviews the root operations of Restriction, Occlusion, Dilation, and Bypass as well as Control and Repair.



"ICD-10-PCS Root Operation Groups, Part 4: Root Operations That Always Involve a Device, Involve Examination Only, or Define Other Objectives" reviews the root operations of Insertion, Replacement , Supplement, Change, Removal, and Revision. It also includes a discussion on root operations that involve an examination and those that define other objectives.



http://www.ahima.org/icd10/trainers.aspx









No. Topic Key Words Description Source Website URL17

18

19

20

21 Training

22


"ICD-10-CM/PCS Transition: Planning and Preparation Checklist" is AHIMA's four-phase checklist to assist with ICD-10 implementation planning.


http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_048737.pdf


Implementation Strategy, Impact Assessment, Resolutions

"Top 10 List: Phase 1" describes the 10 critical steps in the first phase of ICD-10-CM/PCS implementation:Plan Development and Impact Assessment. It is adapted from AHIMA's full implementation checklist.




Implementation Strategy, Budgetary Issues, Training, Communication, Process/System Impact, Long Term Care

"Planning for the ICD-10-CM Transition for LTC Facilities" is appendix A of AHIMA's "ICD-9-CM Coding Guidance for LTC Facilities." It describes four areas that LTC facilities should consider in their ICD-10 implementations.




Implementation Strategy, Impact Assessment, Resolutions, monitor vendor progress

"Top 10 List: Phase 2" describes the 10 critical steps in the second phase of ICD-10-CM/PCS implementation: implementation preparation.




The article "Developing an ICD-10-CM/PCS Coder Training Strategy" 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."




"Crosswalk Options for Legacy Systems: Implementing Near-Term Tactical Solutions for ICD-10." This article explores tactical solutions being explored by payers that are not ready to migrate from their legacy systems. Most solutions involve a crosswalk between old and new code sets, created from four basic options.











24

25

26

27

28

29 Training ICD-10-CM


"Reading the Fine Print on ICD-10 Conversions." This article explains that 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.





The article "Re-engineering the Coding Workflow: Assessing Today with an Eye toward Tomorrow" offers five steps HIM professionals can take to assess and evolve coding workflows with an eye toward coming change, including ICD-10.




The article "Growing ICD-10: Seedling Transition Programs Take Root" features interviews with three organizations on their progress toward ICD-10.




"All Together Now: Planning for ICD-10, ARRA, and the Affordable Care Act" discusses the relationship of ICD-10 to other healthcare initiatives such as ARRA and Affordable Care Act.


http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_049000.hcsp



“Retooling Quality Measures for ICD-10” describes work under way to adapt quality measures for ICD-10.


(Requires AHIMA membership to access)


Rulemaking Process and HIPAA

The article "ICD-10's Impact on Noncovered Entities: Many Reasons Will Lead to Voluntary Upgrades" discusses why noncovered entities may choose to adopt ICD-10-CM/PCS, even though they are not covered by the mandate.



"Coding Injuries in ICD-10-CM" notes that 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.












31 Communication

32

33

34

35 AHIMA Store

36 AHIMA Store

37

Vendor/Payer Contractual Issues

In "Getting the Best from Your ICD-10 Vendor" three HIM vendors share what they have learned about designing successful ICD-10 transitions and how organizations can get the best from their vendors.




ICD-10 Readiness Questionnaire: A form letter that organizations can adapt to query their vendors on their plans for ICD-10 compliance.



The short article "ICD-10: the New Teacher's Pet" notes that ICD-10 will be the primary code set taught to incoming classes of HIM students in 2011.




"Aligning ICD-10: Federal Initiatives Recognize the Value of Integration" discusses the impact of ICD-10 on regulatory initiatives including HIPAA transactions; meaningful use and value-based purchasing; and terminologies and classifications.





"Changes Ahead in Data Standards" notes that 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.





The free audio seminar "From Point A to ICD: Successfully Implementing ICD-10-CM/PCS" examines implementation tasks on a timeline to identify what can be, and what must be, done to prepare for ICD-10.

https://www.ahimastore.org/ProductDetailAudioSeminars.aspx?ProductID=15045

Background of ICD-10-CM/PCS

Implementation Strategy; Mapping and Legacy Data

The free audio seminar "Seminar- Pocket Guide of ICD-10-CM and ICD-10-PCS" explains key differences between ICD-9-CM and ICD-10-CM/PCS and describes how the switch will affect HIM roles.


User of ICD-10-CM Only

Includes a series of articles including ICD-10 Implementation: The Transition to ICD-10: What will change. Enter ICD-10 into the search

American Academy of Sleep Medicine

http://www.aasmnet.org/rss/newsfeed.aspx








http://www.aasmnet.org/rss/newsfeed.aspx



39 A link to search results for ICD-10 articles related to neurology.

40 Search for "ICD-10" on AAOS website

41

42

43 5010

44


A series of brief articles on transition to ICD-10-CM in physician practices, including overviews and planning. The articles are free to the public, but some additional resources are restricted to members.

American Academy of Family Physicians

http://www.aafp.org/online/en/home/practicemgt/codingresources/icd10cm.html


American Academy of Neurology

http://search.aan.com/search?entqr=0&sort=date%3AD%3AL%3Ad1&output=xml_no_dtd&client=patient_frontend&ud=1&oe=UTF-8&ie=UTF-8&site=aan-com&proxystylesheet=my_frontend&q=ICD-10


Medical Specialty Societies

American Association of Orthopaedic Surgeons

http://www3.aaos.org/search/search.asp?client=my_collection&site=my_collection&output=xml&ie=&lr=&q=ICD-10&btnG=Search


Information on the ICD-10 transition as it relates to clinical laboratories.

American Clinical Laboratory Association

http://www.acla.com/icd-10


Information on the ICD-10 transition as it relates to obstetrics and gynecology coding.

American Congress of Obstetricians and Gynecologists

http://www.acog.org/About_ACOG/ACOG_Departments/Coding_and_Nomenclature/ICD_10

The archived audio webinar "5010 and ICD-10: What They Are and How to Prepare for Them" offers an overview on implementing ICD-10 including a detailed nine-step implementation plan, keypoints, and AMA resources.

American Medical Association

https://cc.readytalk.com/cc/playback/Playback.do?id=8lhlvg



The fact sheet "Partial Freeze to ICD-9 and ICD-10 for Smoother Transition" provides an overview of the code set freezes in 2012 and 2013.


http://www.ama-assn.org/resources/doc/washington/freezing-icd9-icd10-fact-sheet.pdf

http://search.aan.com/search?entqr=0&sort=date%3AD%3AL%3Ad1&output=xml_no_dtd&client=patient_frontend&ud=1&oe=UTF-8&ie=UTF-8&site=aan-com&proxystylesheet=my_frontend&q=ICD-10

http://www3.aaos.org/search/search.asp?client=my_collection&site=my_collection&output=xml&ie=&lr=&q=ICD-10&btnG=Search

http://www.acla.com/icd-10

http://www.acog.org/About_ACOG/ACOG_Departments/Coding_and_Nomenclature/ICD_10

https://cc.readytalk.com/cc/playback/Playback.do?id=8lhlvg

http://www.ama-assn.org/resources/doc/washington/freezing-icd9-icd10-fact-sheet.pdf



46 Checklist for adopting ICD-10-CM in physician practices.

47

48

49 ICD-10-CM Fact sheet: "The Differences Between ICD-9 and ICD-10"

50


"Crosswalking Between ICD-9 and ICD-10" is a fact sheet on the uses of crosswalks and General Equivalence Mappings.


http://www.ama-assn.org/resources/doc/washington/crosswalking-between-icd-9-and-icd-10.pdf


Implementation, ICD-10-CM Only


http://www.ama-assn.org/resources/doc/washington/icd10-checklist.pdf


Implementation, ICD-10-CM Only

ICD-10 Project Plan Template for physician practices, available under "AMA Educational Resources."


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


Fact sheet: "ICD-10 101: What It Is and Why It’s Being Implemented"


http://www.ama-assn.org/resources/doc/washington/icd10-overview-fact-sheet.pdf



http://www.ama-assn.org/resources/doc/washington/icd10-icd9-differences-fact-sheet.pdf



The fact sheet "Implementing ICD-10 in Your Practice - Part One: provides guidance and checklists on implementing ICD-10, including lists of questions to consider.


http://www.ama-assn.org/resources/doc/washington/icd10-practice-implementation-part-1.pdf

http://www.ama-assn.org/resources/doc/washington/crosswalking-between-icd-9-and-icd-10.pdf

http://www.ama-assn.org/resources/doc/washington/icd10-checklist.pdf

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

http://www.ama-assn.org/resources/doc/washington/icd10-overview-fact-sheet.pdf

http://www.ama-assn.org/resources/doc/washington/icd10-icd9-differences-fact-sheet.pdf




52

53

54

55

56

57

58


Process/System Impact, Training

The fact sheet "Implementing ICD-10 in Your Practice – Part 2" provides information on system changes and staff training.




Impact Assessment and Initiate Resolutions

"Testing Your Readiness for ICD-10" is a fact sheet explaining the internal and external testing needed for implementation of the ICD-10 code set.


http://www.ama-assn.org/resources/doc/washington/icd-10-readiness-testing.pdf



"ICD-10 Timeline: Meeting the Compliance Date" describes steps for preparing for the compliance deadline and advice for post-implementation.


http://www.ama-assn.org/resources/doc/washington/icd10-timeline-fact-sheet.pdf


Implementation Issues, Communication, Implementation Strategy, Process/System Impact

The article "Preparing for the Conversion from ICD-9 to ICD-10: What You Need to Be Doing Today" 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, businesss processes, staff training, and testing.


http://www.ama-assn.org/resources/doc/washington/preparing-for-the-conversion-from-ICD9-ICD10.pdf


A link to search results on ICD-10 information from the American Physical Therapy Association.

American Physical Therapy Association

http://www.apta.org/search.aspx?q=ICD-10/


Medical Specialty Societies

A search on "ICD-10" will return a long list of resources and links, ranging from general information to for-purchase materials.

American Society of Anesthesiogists

http://www.asahq.org/Search.aspx?q=ICD-10&site=All


An article titled "Ready Your CDI Staff for ICD-10 Implementation" offers guidance for preparing CDI staff for ICD-10.

Association of Clinical Documentation Improvement Specialists

http://www.hcpro.com/acdis/details.cfm?content_id=257954


The article "What Impact Will ICD-10 Have on MS-DRG Payments?" discusses the financial impact of ICD-10.




http://www.ama-assn.org/resources/doc/washington/icd-10-readiness-testing.pdf

http://www.ama-assn.org/resources/doc/washington/icd10-timeline-fact-sheet.pdf

http://www.ama-assn.org/resources/doc/washington/preparing-for-the-conversion-from-ICD9-ICD10.pdf

http://www.apta.org/search.aspx?q=ICD-10/

http://www.asahq.org/Search.aspx?q=ICD-10&site=All





60 5010

61 5010

62 5010

63 5010

64 An overview of ICD-10

65


The article "Use OIG Compliance Tips for ICD-10 Implementation" describes the compliance aspect of ICD-10 implementation.



"New Health Care Electronic Transactions Standards, Versions 5010, D.0, and 3.0" is a four-page fact sheet describing the why's, what's and who’s of basic information on the 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

"Version 005010 Technical Comments and Responses Supplement, January 2009" is a 239-page collection of comments and responses on the technical design of 5010 addressed by a work group of subject matter experts under the leadership of representatives from Blue Cross and Blue Shield Association and Electronic Data Services.


http://www.cms.gov/ICD10/Downloads/X12ResponsestoTechnicalCommentsonVersion5010.pdf

CMS offers a two-page reference card with links to pertinent websites for 5010 and D.0, a timeline for implementation, and steps to prepare for the transition.


http://www.cms.gov/MLNProducts/downloads/5010EDI_RefCard_ICN904284.pdf

CMS page with additional links on resources for 5010 and 3.0, links to an overview and background are available, as well as to federal regulations and policies.


http://www.cms.gov/Versions5010andD0/01_overview.asp



https://www.cms.gov/ICD10/01_Overview.asp


Implementation, Background, Training, Budgetary Issues, Process/Systems Impact

Provider resources including implementation handbooks, background and timeline, resources for training, and budgets and impact on current systems.


https://www.cms.gov/ICD10/05a_ProviderResources.asp


http://www.cms.gov/ICD10/Downloads/w5010BasicsFctSht.pdf

http://www.cms.gov/ICD10/Downloads/X12ResponsestoTechnicalCommentsonVersion5010.pdf

http://www.cms.gov/MLNProducts/downloads/5010EDI_RefCard_ICN904284.pdf

http://www.cms.gov/Versions5010andD0/01_overview.asp

https://www.cms.gov/ICD10/01_Overview.asp

https://www.cms.gov/ICD10/05a_ProviderResources.asp


No. Topic Key Words Description Source Website URL66 Communication News, updates

67

68

69

70 ICD-10-CM

71 ICD-10-PCS

72

73

CMS offers ICD-10 industry updates via e-mail. Archived updates are available at this URL as well as a link to subscribe.


https://www.cms.gov/ICD10/02d_CMS_ICD-10_Industry_Email_Updates.asp


Implementation Issues, Training, Mapping and Legacy Data

Information and educational resources for Medicare fee-for-service (FFS) providers.


http://www.cms.gov/ICD10/06_MedicareFeeforServiceProviderResources.asp



A special issue of "MLN Matters" announcing the ICD-9 and ICD-10 code freezes in effect for 2012 and 2013.


http://www.cms.gov/MLNMattersArticles/downloads/SE1033.pdf


Implementation Issues, ICD-9-CM Outdated

A nine-page "MLN Matters" article covering the background, benefits, and structure of ICD-10-CM and PCS and GEMS. It also includes a section on “What to do now in Preparation for ICD-10 Implementation”



2012 ICD-10-CM files containing information on the new code set, including coding guidelines, list code descriptions, and tables and index, reimburesment mappings, and general equivalence mappings.


http://www.cms.gov/ICD10/11b14_2012_ICD10CM_and_GEMs.asp

The 2012 ICD-10-PCS files contain information on the new procedure coding system, ICD-10-PCS, that is being developed as a replacement for ICD-9-CM, Volume 3. Files include coding guidelines, list code descriptions, and tables and index for ICD10 PCS.


http://www.cms.gov/ICD10/11b15_2012_ICD10PCS.asp

Impact Assessment and Initiate Resolutions

Key results from CMS's implementation reports and impact analyses, offered to provide insights for other organizations as they plan for the transition. Downloads include: 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


https://www.cms.gov/ICD10/04_CMSImplementationPlanning.asp


"The Centers for Medicare & Medicaid Services (CMS) ICD-10 Planning AHIMA Report" details findings of meetings with healthcare industry representatives discussing the transition to 5010 and ICD-10.


https://www.cms.gov/ICD10/Downloads/ICD10_Initial_Findings_Report.pdf

https://www.cms.gov/ICD10/02d_CMS_ICD-10_Industry_Email_Updates.asp

http://www.cms.gov/ICD10/06_MedicareFeeforServiceProviderResources.asp



http://www.cms.gov/ICD10/11b14_2012_ICD10CM_and_GEMs.asp

http://www.cms.gov/ICD10/11b15_2012_ICD10PCS.asp

https://www.cms.gov/ICD10/04_CMSImplementationPlanning.asp

https://www.cms.gov/ICD10/Downloads/ICD10_Initial_Findings_Report.pdf



75

76 Medicaid Resource

77 Medicaid resource

78 Timeline

79 Timeline

80


"ICD-10/Version 5010 Industry Listening Session Summary" is a 3-page summary of a December 2009 meeting between CMS and healthcare industry leaders on the transition to 5010 and ICD-10.


https://www.cms.gov/ICD10/Downloads/ICD-10IndustryListeningSessionSummary.pdf


Background of ICD-10-CM/PCS, Implementation, Communication

A high-level training package for state Medicaid agencies that includes 12 training segments addressing federal requirements, assessment, and planning.


https://www.cms.gov/ICD10/07a_MedicaidResources.asp


The "Medicaid Implementation Assistance Handbook" covers the “nuts and bolts” of ICD-10 implementation for state Medicaid agencies. The handbook give advice on organizing the actions associated with the transition to ICD-10, outlines strategies and activities to consider in each phase of the transition, provides a timeline and recommended next steps for CMS Regional Offices.


http://www.cms.gov/MedicaidInfoTechArch/downloads/Medicaid_ICD-10_Implementation_Assistance_Handbook.pdf


Twelve ppt training segments - This link takes the user to 12 training segments developed by CMS on ICD-10 for state Medicaid agencies. These segments are a high level review addressing Federal requirements and other aspects of ICD-10 implementation, designed for State Medicaid mangers that focus on assessment and planning


http://www.cms.gov/MedicaidInfoTechArch/07_ICD-10TrainingSegments.asp


"ICD-10 and Version 5010 Compliance Timelines- Overview of Key Dates"


https://www.cms.gov/ICD10/03_ICD-10andVersion5010ComplianceTimelines.asp


Implementation Widget and Timelines: This tool assists the user in identifying and taking action on the timeline benchmarks.




This website reports on the latest news at CMS. At time of publication of this toolkit this page included ICD-10 Implementation Handbooks for four different settings


http://www.cms.gov/ICD10/02b_Latest_News.asp

https://www.cms.gov/ICD10/Downloads/ICD-10IndustryListeningSessionSummary.pdf

https://www.cms.gov/ICD10/07a_MedicaidResources.asp

http://www.cms.gov/MedicaidInfoTechArch/downloads/Medicaid_ICD-10_Implementation_Assistance_Handbook.pdf

http://www.cms.gov/MedicaidInfoTechArch/07_ICD-10TrainingSegments.asp



http://www.cms.gov/ICD10/02b_Latest_News.asp



82

83

84

85


"ICD-10 MS-DRG Conversion Project" section of CMS's Web 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.


http://www.cms.gov/ICD10/17_ICD10_MS_DRG_Conversion_Project.asp


"ICD-10-CM/PCS to ICD-9-CM Reimbursement Mappings2011 Version Documentation and User’s Guide." The target audience of this document is professionals working in the health services reimbursement system, including software engineers and IT professionals. The intent of the document is to give the reader information they need to understand the intent and structure of the ICD-10 to ICD-9 mapping. 7-pages


http://www.cms.gov/ICD10/Downloads/2011_Reimbursement_Mapping_User_Guide.pdf


"CMS ICD-10 Planning: Initial Summary of AHIMA Executive Report" is a 15-page summary of a more extensive AHIMA report chronicling CMS business process that would be impacted by an ICD-10 transition.


https://www.cms.gov/ICD10/Downloads/AHIMASummary.pdf


MLN Matters Number MM7492 on Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing ICD-10-CM/PCS


http://www.cms.gov/MLNMattersArticles/downloads/MM7492.pdf



Provides conversion timeframes for the physician quality reporting system (PQRS)


https://www.cms.gov/PQRS/Downloads/PQRS_and_ICD-10_Conversion_Milestones05-10-11.pdf

http://www.cms.gov/ICD10/17_ICD10_MS_DRG_Conversion_Project.asp

http://www.cms.gov/ICD10/Downloads/2011_Reimbursement_Mapping_User_Guide.pdf

https://www.cms.gov/ICD10/Downloads/AHIMASummary.pdf

http://www.cms.gov/MLNMattersArticles/downloads/MM7492.pdf

https://www.cms.gov/PQRS/Downloads/PQRS_and_ICD-10_Conversion_Milestones05-10-11.pdf



87

88

89 State Medicaids

90 Training

91 Training


CMS fact sheet of the final 1CD-10 implementation rule released on January 15, 2009


https://www.cms.gov/apps/media/press/factsheet.asp?Counter=3407&intNumPerPage=10&checkDate=&checkKey=2&srchType=2&numDays=0&srchOpt=0&srchData=icd%252D10&keywordType=All&chkNewsType=6&intPage=&showAll=1&pYear=&year=0&desc=&cboOrder=date


CMS website, contains links to the final rule and transitions and code sets regulations


https://www.cms.gov/ICD10/10a_Statute_Regulations.asp


This is a CMS website for Standards for Electronic Transactions, New Versions, New Standards and New Code Set -Final Rule. Additional downloads are available


https://www.cms.gov/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulations.asp

Links to each state Medicaid website(Download List of State Medicaid Program Websites)


http://www.cms.gov/medicaideligibility/

CMS Teleconferences. Training, Implementation Issues

PDF files and some podcasts for CMS-hosted national provider education teleconferences on ICD-10-CM/PCS.


http://www.cms.gov/ICD10/Tel10/list.asp

ImplementationIssues, Background of ICD-10-CM/PCS, Mapping and legacy data

News and updates from CMS on activities and educational opportunities, including national provider teleconferences


https://www.cms.gov/ICD10/02b_Latest_News.asp

https://www.cms.gov/apps/media/press/factsheet.asp?Counter=3407&intNumPerPage=10&checkDate=&checkKey=2&srchType=2&numDays=0&srchOpt=0&srchData=icd%252D10&keywordType=All&chkNewsType=6&intPage=&showAll=1&pYear=&year=0&desc=&cboOrder=date

https://www.cms.gov/ICD10/10a_Statute_Regulations.asp

https://www.cms.gov/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulations.asp

http://www.cms.gov/medicaideligibility/

http://www.cms.gov/ICD10/Tel10/list.asp

https://www.cms.gov/ICD10/02b_Latest_News.asp



93

94

95

96

97 Training Get Body Smart

98 Budgetary Issues



ICD-10 Implementation Strategies for Physicians National Provider Call


http://www.cms.gov/ICD10/Tel10/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=1&sortOrder=descending&itemID=CMS1249632&intNumPerPage=10


CMS website directed at vendor readiness for the I-10 transition. Additional resources available


https://www.cms.gov/ICD10/09a_Vendor_Resources.asp


A two-page tip sheet titled "Talking to Your Customers About ICD-10 AND Version 5010: Tips for Software Vendors."


https://www.cms.gov/ICD10/Downloads/ICD10TalkingtoCustomersforVendors20100409.pdf


Implementation, Final Rule, 5010

Link to the Federal Register on the Final Rule for version 5010 published January 16, 2009, 34 pages.

Federal Register (Government Printing Office)

http://edocket.access.gpo.gov/2009/pdf/E9-740.pdf


Implementation, Final Rule, ICD-10-CM, ICD-10-PCS

Link to the Federal Register containing the final rule for ICD-10 published January 16, 2009.

Federal Register (Government Printing Office)


Get Body Smart: An Online Textbook about Human Anatomy and Physiology.

http://www.getbodysmart.com/

The HIMSS ICD-10 Cost Prediction Modeling 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

http://www.cms.gov/ICD10/Tel10/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=1&sortOrder=descending&itemID=CMS1249632&intNumPerPage=10

https://www.cms.gov/ICD10/09a_Vendor_Resources.asp

https://www.cms.gov/ICD10/Downloads/ICD10TalkingtoCustomersforVendors20100409.pdf



http://www.getbodysmart.com/

http://www.himss.org/content/files/HIMSSICD-10CostPredictionModeltool.xlsx



100

101 HIPAASpace

102 ICD10Data.com

103

104 Implementation IssueMinnesota


Background ofICD-10-CM/PCS

The HIMSS ICD 10 Resource Listing provides a quick reference of resources available to the industry, including ICD 10 basics, implementation and frequently asked questions.


http://www.himss.org/content/files/FinancialSystemsResourceListing.pdf


The HIMSS "ICD-10 PlayBook" provides information to assist hospitals, ambulatory centers, practitioners, and their staff in transitioning to ICD-10.


http://www.himss.org/ASP/topics_ICD10Playbook.asp

NPI Lookup, NDC Lookup, HCPCS Lookup, ICD-9 Lookup, ICD-10 Lookup, CLIA Lookup, Taxonomy Codes Lookup, NAICS Lookup: This set of Lookup Services provides comprehensive coverage of all possible Lookup Services used in Healthcare industry to provide electronic documents submission under HIPAA regulation as well as regular paper Healthcare forms and documents

http://www.hipaaspace.com/Medical_Billing/Coding/Billing_Code_Lookup_Services.aspx

ICD10Data.com is the free ICD-10 medical coding websiteICD10Data.com takes the ICD-10 coding book and adds over 4.2 million cross references between codes to make finding what you need faster and easier than ever before. They have taken the ICD-10 coding books and added over 10.6 million hyperlinks between codes to make it faster and easier to find what you need.

http://www.icd10data.com/


Medical Specialty Societies, Budget, Implementation

Fact Sheet on ICD-10 available.Several links to medical societies. The Medical Group Management Association, founded in 1926, is the nation's principal voice for medical group practice. MGMA's more than 21,500 members manage and lead 13,500 organizations, in which more than 270,000 physicians practice. MGMA's core purpose is to improve the effectiveness of medical group practices and the knowledge and skills of the individuals who manage and lead them. MGMA headquarters are in Englewood, Colo. For more information please visit www.mgma.com.

Medical Group Management Association

http://www.mgma.com/press/default.aspx?id=22586

ICD-10 information from the Minnesota Health Information Management Association

Minnesota Health Information Management Association

http://www.mnhima.org/

http://www.himss.org/content/files/FinancialSystemsResourceListing.pdf

http://www.himss.org/ASP/topics_ICD10Playbook.asp

http://www.hipaaspace.com/Medical_Billing/Coding/Billing_Code_Lookup_Services.aspx

http://www.icd10data.com/

http://www.mgma.com/press/default.aspx?id=22586

http://www.mnhima.org/


No. Topic Key Words Description Source Website URL105 ICD-10-CM Provides a synopsis of ICD-10-CM's background

106 ICD-10-CM Code Sets ICD-10-CM Official Guidelines for Coding and Reporting, 2012

107

108 Background of ICD

109 ICD-10-PCS

110

111 NJDDCS This booklet shows the adaptation of the NJDDCS for ICD-10.

112 ICD-10

National Center for Health Statistics

http://www.cdc.gov/nchs/icd/icd10cm.htm

National Center for Health Statistics

http://www.cdc.gov/nchs/data/icd10/10cmguidelines2012.pdf



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

International Statistical Classification of Diseases and Related Health Problems (ICD-10): Americanized Version Source Information. This is an UMLS site which provides website information for ICD-10 (not ICD-10-CM) and update frequency.

National Library of Medicine

http://www.nlm.nih.gov/research/umls/sourcereleasedocs/current/ICD10AE/

2011AA ICD-10-PCS Source Information. This is an UMLS site which 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/current/ICD10PCS/



ICD-10-CM/PCS Coding Maintenance Operational Guide - 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 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

New Jersey Department of Health

http://www.state.nj.us/health/healthcarequality/ub/2008/NJDDCS_V2_Comparison_of_Data_Fields.pdf

This manual discusses the health information technology operational plan for NJ Department of Health. There is one mention of ICD-10.

New Jersey Department of Health

http://www.state.nj.us/health/bc/documents/hitc10/hit_operational_plan_onc.pdf

http://www.cdc.gov/nchs/icd/icd10cm.htm

http://www.cdc.gov/nchs/data/icd10/10cmguidelines2012.pdf

http://www.ncqa.org/tabid/1261/Default.aspx

http://www.nlm.nih.gov/research/umls/sourcereleasedocs/current/ICD10AE/

http://www.nlm.nih.gov/research/umls/sourcereleasedocs/current/ICD10PCS/

http://www.qualityforum.org/Publications/2010/10/ICD-10-CM/PCS_Coding_Maintenance_Operational_Guidance.aspx

http://www.state.nj.us/health/healthcarequality/ub/2008/NJDDCS_V2_Comparison_of_Data_Fields.pdf


No. Topic Key Words Description Source Website URL113 Implementation IssueMedicaid Resource Medicaid ICD-10 Implementation Assistance Launch Page

114

115

116 GEMs Presentation on the GEM files and how they are used

117

118 Background of ICD ICD-10 without CM

119 Other

Noblis and Center for Medicaid, CHIP, and Survey and Certification

https://medicaidicd10.noblis.org/navigation/


State-specific resources, Ohio

MITS News - Feb 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


State-specific resources, Ohio

2011 Strategic goals of ODJFS on page 16 or 19 identify the short term and long term strategy for ICD-10 implementation.

Ohio Department of Job and Family Services

http://jfs.ohio.gov/aboutus/ODJFSstrategicPlan.pdf


Pennsylvania Health Information Management Association

www.phima.org


ICD-10; Post-implementation

A listing of reports that may be useful post-ICD-10 implementation.

Pennsylvania Health Information Management Association

www.phima.org

General information on WHO classification of diseases and ICD-10.

World Health Organization

http://www.who.int/classifications/icd/en/

WHO Topic Advisory Groups

The link pertains to WHO and their Topic Advisory Groups(TAGS)

World Health Organization

http://www.who.int/classifications/icd/TAGs/en/index.html

https://medicaidicd10.noblis.org/navigation/

http://jfs.ohio.gov/mits/newsletter/MITS_0209.pdf

http://jfs.ohio.gov/aboutus/ODJFSstrategicPlan.pdf

http://www.phima.org/

http://www.phima.org/

http://www.who.int/classifications/icd/en/

http://www.who.int/classifications/icd/TAGs/en/index.html

No vendors are to be used for this toolkit

Documents

Apendix A