The International Classification of Diseases-10 (ICD-10) is a new diagnostic coding system created to improve accuracy, quality, and specificity of healthcare delivery by utilizing a wider range of codes documented in medical diagnosis and inpatient procedures. Although the United States health system currently uses the International Classification of Diseases-9, it has initiated a transition to ICD-10, which is scheduled to take effect October 1, 2015. This webpage provides a review of CPCA training opportunities, announcements, and detailed information about the topic to assist you throughout the transition process.
Click here to review the CMS ICD-10-CM Official Guidelines for Coding and Reporting
Coders, billers, practice managers, physicians, and other health care personnel need to undergo training and be provided with educational materials in order to effectively implement ICD-10. Coders in hospital settings need to learn ICD-10 diagnosis and ICD-10 inpatient procedure coding, while coders in physician practices only need to learn ICD-10 diagnosis coding.
CPCA Training Opportunities
Purchase these recordings on demand by sending an email to CPCA's Training Team at firstname.lastname@example.org with the session title.
Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) released a joint statement about their efforts to help the provider community get ready for ICD-10. This statement included guidance from CMS that allows for flexibility in the claims auditing and quality reporting processes.
CMS has released updated “Clarifying Questions and Answers" Related to Joint Announcement and Guidance Regarding ICD-10 Flexibilities, which provides answers to the most commonly asked questions.
Message from DHCS Regarding ICD-10
September 9, 2015: Message from California's Department of Health Care Services
CMS/AMA released a Joint Announcement and Guidance Regarding ICD-10 Flexibilities
On July 6, 2015, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) released a joint statement about their efforts to help the provider community get ready for ICD-10. This statement included guidance from CMS that allows for flexibility in the claims auditing and quality reporting processes.
ICD - 10 Updates
Anthem will continue to work to help ensure that our systems, supporting business processes, policies and procedures successfully meet the implementation standards and deadlines without interruption to day-to-day business practices. We will be capable of accepting and processing ICD-10 diagnosis and inpatient procedure codes on the mandated compliance date.
Coding Behavorial Health Services: CPT, DSM, and ICD
Helpful page with extensive resources on DSM-V and ICD-10. Collectively, these transitions impact clinical diagnoses, billing, contracts, work flow, HIT, compliance protocols, and more. Explore the resources to help you navigate these changes.
DSM-V and ICD-10
The ICD - 10 transition comes on the heels of the release of the DSM-5 in May 2013, which has been adopted by payers and direct service organizations at varying speeds. Providers must start planning now if they have not already begun.
ICD – 10 Quick Start Guide: Train your Staff
Get ready now with the new CMW Quick Start Guide. This guide outlines 5 steps health care professionals should take to prepare for ICD-10 by the October 1, 2015, compliance date. You can complete parts of different steps at the same time if that works best for your practice.
CMS ICD-10 Infographic
Plan to work on the 5 steps at the same time. Remember that you do not have to necessarily complete one step before working on another step. Visit the Road to 10 tool to build an action plan using the 5 steps. A CMS online ICD-10 resource, Road to 10 was built by physicians for physicians.
ICD-10 Issues and Questions Reporting System
Explore known issues and answers regarding the ICD-10 transition, or submit your own issues and questions.
CPCA's ICD-10 Transition Workgroup, using a sample Action Plan from the CMS Road to 10 website, has prepared an ICD-10 Transition Checklist. The checklist spreadsheet has a Master checklist tab, and additional tabs listing the possible duties for different types of health center staff. CPCA hopes you'll find this checklist useful.
CMS ICD-10 Videos
The Centers for Medicare & Medicaid Services (CMS) has released two animated shorts that explain key ICD-10 concepts.
ICD-10: Ready, Set, Go
CPCA and PMG Consulting know how important it is to get your CHC on board and ready for October 2015. In an effort to bring our members the most affordable ICD-10 implementation program, we have been able to secure discounted pricing with PMG Consulting for their comprehensive “Ready, Set, Go!” program. PMG, CPCA's Revenue Cycle Management partner, is ready to work with you to successfully manage the ICD-10 Transition.
Coding for ICD-10 CM: More of the Basics
In this MLN Connects™ video, Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) provide a basic introduction to ICD-10-CM coding. The objective of this video is to enhance viewers’ understanding of the characteristics and unique features of ICD-10-CM, as well as similarities and differences between ICD-9-CM and ICD-10-CM.
- How to assign a diagnosis code using ICD-10-CM
- ICD-10-CM code structure
- Coding process and examples: Combination codes, 7th character, placeholder "x,” excludes notes, unspecified codes, external cause codes
- Resources for coders
CPCA has compiled a list of ICD-10 consultants, with contact information. Please contact the vendors directly for more information regarding their respective services.
CPCA Staff Contact
If you have any questions, or need more information, please contact Emily Shipman, Senior Program Coordinator of Health Center Operations, at email@example.com or (916) 440-8170.
If you're interested in participating in the ICD-10 Transition Workgroup, please contact Charlotte Reische, Senior Administrative Assistant, at firstname.lastname@example.org or (916) 440-8170.