What You Need to Know about ICD-10
The International Classification of Disease tenth revision (ICD-10) is a system of coding created by the World Health Organization that notes various medical records including diseases, symptoms, abnormal findings and external causes of injury. ICD-10 will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims. The links listed below will introduce you to ICD-10, explain why it is necessary and provide you the information you will need to get started on the transition.
- The ICD-10 Transition: An Introduction
- Provider Resources
- CD-10 Basics for Payers
- Online ICD-10 Guide
Testing is a critical component of ICD-10 transition. If Emdeon is your claims clearinghouse, please contact them directly to begin testing. Click here for Emdeon ICD-10 FAQ’s, handbooks on testing, and other online resources.
If Emdeon is not your claims clearinghouse, the Commonwealth Care Alliance, Claims Department will begin testing with providers in June. We will test claims and processes using ICD-10 to make sure the new code set will be processed correctly in the live claims’ environment as of October 1, 2015. If you are ready to begin testing, please email ProviderRelations@commonwealthcare.org and we will schedule your testing date.
Stay up to date on ICD-10!
To stay current with the latest ICD-10 updates, including Quick Tips for Submitting ICD-10 Test Files to MassHealth, ICD-10 Provider FAQs, Provider Bulletins and Job Aids, please go to the ICD-10 Web Page at www.mass.gov/eohhs/gov/newsroom/masshealth/providers/ and click on ICD Implementation.
- Sign up for CMS Email Update messages
- Follow CMS on Twitter
- Check out the full list of CMS ICD-10 resources
For general questions on ICD-10, please email ProviderRelations@commonwealthcare.org.
Here is a list of resources about ICD-10 for your use:
|ICD-10 Training Resources|
|Medicare Learning Network’s ICD-10 Coding Basics (video)*||Free|
|Practice Managers Guide ICD-10 (video)*||Free|
|CMS Introduction to ICD-10 Coding (video)*||Free|
|CMS – IC-10 (further resources and Updates)*||Free|
|Codebusters – ICD-10 Training*||Free|
|Alison – Free learning network*||Free|
|World Health Organization – ICD-10 Interactive Self learning Tool*||Free|
|MAXIM – ICD-10 Training*||Charge|
|AAPC – ICD-10 Training for Coders*||Charge|
|Evolve – ICD-10 Online Training Modules*||Charge|
|Optum Coding – ICD-10 Impact to Nursing Documentation*||Charge|
|Bridge Front – Your Single Source for ICD-10 Education Solutions*||Charge|
*When you click this link, you will leave Commonwealth Care Alliance’s website.