Apendix A

No.
Topic Key Words Description Source Website URL

1 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.
AAPC http://www.aapc.com/ICD-
10/icd9-icd10-reference-
sheet.aspx
2 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/down
loads/pub/advances2/vol1/
Advances-Quan_52.pdf
3 Process/System
Impact
Quality and Patient
Safety Measures
"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.qualityindicator
s.ahrq.gov/modules
4 CSA Websites Links to AHIMA Component State Association websites, which
can be monitored for ICD-10-CM/PCS information.
AHIMA http://www.ahima.org/abo
ut/csa.aspx
5 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.
AHIMA http://www.ahima.org/adv
ocacy/codeddata.aspx
6 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.
AHIMA http://www.ahima.org/icd1
0/newsletters.aspx
7 Implementation
Strategy
Training An AHIMA website developed to identify key tasks and
milestones that must be completed within specific
timeframes by specific organizations or specific roles within an
0/role.aspx
8 Training 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.
AHIMA http://www.ahima.org/certi
fication/recertification.aspx
9 Training 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.
0/trainers.aspx
AHIMA ICD-10-Implementation Toolkit. Appendix A; Review Draft; Do not Cite or Quote 1
No. Topic Key Words Description Source Website URL
Data
"ICD-10 Reimbursement Mappings: New Mappings from CMS
Help Organizations in the Transition to ICD-10"
AHIMA Body of
Knowledge
http://library.ahima.org/xp
edio/groups/public/docume
nts/ahima/bok1_043242.hc
sp
11 Budgetary Issues The article "Budgeting for ICD-10" offers guidance on budgeting
by category and year.
AHIMA Body of
Knowledge
sp
12 Documentation
Improvement
"Top Ten Documentation Issues for ICD-10" summarizes a
presentation at AHIMA's 2011 AHIMA ICD-10 Summit.
AHIMA Body of
Knowledge
sp
13 Coding Guidance ICD-10-PCS "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,
AHIMA Body of
Knowledge
sp
14 Coding Guidance ICD-10-PCS "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,
AHIMA Body of
Knowledge
sp
15 Coding Guidance ICD-10-PCS "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.
AHIMA Body of
Knowledge
sp
16 Coding Guidance ICD-10-PCS "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.
AHIMA Body of
Knowledge
sp
17 Implementation
Strategy
"ICD-10-CM/PCS Transition: Planning and Preparation Checklist"
is AHIMA's four-phase checklist to assist with ICD-10
implementation planning.
AHIMA Body of
Knowledge
nts/ahima/bok1_048737.pd
f
18 Implementation
Issues
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.
AHIMA Body of
Knowledge
f
19 Implementation
Issues
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.
AHIMA Body of
Knowledge
sp
20 Implementation
Strategy
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.
AHIMA Body of
Knowledge
f
21 Implementation
Strategy
Training 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."
AHIMA Body of
Knowledge
sp
Data
"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.
AHIMA Body of
Knowledge
sp
Data
"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.
AHIMA Body of
Knowledge
sp
24 Process/System
Impact
Implementation
Issues
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.
AHIMA Body of
Knowledge
sp
25 Process/System
Impact
The article "Growing ICD-10: Seedling Transition Programs Take
Root" features interviews with three organizations on their
progress toward ICD-10.
AHIMA Body of
Knowledge
sp
26 Process/System
Impact
"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.
AHIMA Body of
Knowledge
edio/groups/secure/docum
ents/ahima/bok1_049000.h
csp
27 Process/System
Impact
Quality and Patient
Safety Measures
Retooling Quality Measures for ICD-10 describes work under
way to adapt quality measures for ICD-10.
AHIMA Body of
Knowledge
(Requires AHIMA
membership to
access)
csp
28 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.
AHIMA Body of
Knowledge
sp
29 Training ICD-10-CM "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.
AHIMA Body of
Knowledge
sp
30 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.
AHIMA Body of
Knowledge
sp
31 Vendor/Payer
Contractual Issues
Communication ICD-10 Readiness Questionnaire: A form letter that organizations
can adapt to query their vendors on their plans for ICD-10
compliance.
AHIMA Body of
Knowledge
f
32 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.
AHIMA Body of
Knowledge
sp
and HIPAA
"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.
AHIMA Body of
Knowledge
(Requires AHIMA
membership to
access)
csp
and HIPAA
"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.
AHIMA Body of
Knowledge
(Requires AHIMA
membership to
access)
csp
35 Implementation
Strategy
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.
AHIMA Store https://www.ahimastore.or
g/ProductDetailAudioSemin
ars.aspx?ProductID=15045
36 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.
AHIMA Store https://www.ahimastore.or
g/ProductDetailAudioSemin
ars.aspx?ProductID=15287
37 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/rs
s/newsfeed.aspx
Only
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/codi
ngresources/icd10cm.html
Only
A link to search results for ICD-10 articles related to neurology. American Academy
of Neurology
http://search.aan.com/sear
ch?entqr=0&sort=date%3A
D%3AL%3Ad1&output=xml
_no_dtd&client=patient_fro
ntend&ud=1&oe=UTF-
8&ie=UTF-8&site=aan-
com&proxystylesheet=my_f
rontend&q=ICD-10
Only
Medical Specialty
Societies
Search for "ICD-10" on AAOS website American
Association of
Orthopaedic
Surgeons
http://www3.aaos.org/sear
ch/search.asp?client=my_co
llection&site=my_collection
&output=xml&ie=&lr=&q=I
CD-10&btnG=Search
Only
Information on the ICD-10 transition as it relates to clinical
laboratories.
American Clinical
Laboratory
Association
http://www.acla.com/icd-
10
Only
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_Department
s/Coding_and_Nomenclatur
e/ICD_10
43 5010 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=8
lhlvg
10-CM/PCS
Code Sets
Maintenance
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.
American Medical
Association
http://www.ama-
assn.org/resources/doc/was
hington/freezing-icd9-icd10-
fact-sheet.pdf
Data
"Crosswalking Between ICD-9 and ICD-10" is a fact sheet on the
uses of crosswalks and General Equivalence Mappings.
American Medical
Association
http://www.ama-
hington/crosswalking-
between-icd-9-and-icd-
10.pdf
Only
Implementation,
ICD-10-CM Only
Checklist for adopting ICD-10-CM in physician practices. American Medical
Association
http://www.ama-
hington/icd10-checklist.pdf
Only
Implementation,
ICD-10-CM Only
ICD-10 Project Plan Template for physician practices, available
under "AMA Educational Resources."
American Medical
Association
http://www.ama-
assn.org/ama/pub/physicia
n-resources/solutions-
managing-your-
practice/coding-billing-
insurance/hipaahealth-
insurance-portability-
accountability-
act/transaction-code-set-
standards/icd10-code-
set.page
Only
Fact sheet: "ICD-10 101: What It Is and Why Its Being
Implemented"
American Medical
Association
http://www.ama-
hington/icd10-overview-
fact-sheet.pdf
Only
ICD-10-CM Fact sheet: "The Differences Between ICD-9 and ICD-10" American Medical
Association
http://www.ama-
hington/icd10-icd9-
differences-fact-sheet.pdf
Only
Implementation
Issues
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.
American Medical
Association
http://www.ama-
hington/icd10-practice-
implementation-part-1.pdf
Only
Process/System
Impact, Training
The fact sheet "Implementing ICD-10 in Your Practice Part 2"
provides information on system changes and staff training.
American Medical
Association
http://www.ama-
hington/icd10-practice-
implementation-part-2.pdf
Only
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.
American Medical
Association
http://www.ama-
hington/icd-10-readiness-
testing.pdf
Only
Implementation
Issues
"ICD-10 Timeline: Meeting the Compliance Date" describes steps
for preparing for the compliance deadline and advice for post-
implementation.
American Medical
Association
http://www.ama-
hington/icd10-timeline-fact-
sheet.pdf
Only
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.
American Medical
Association
http://www.ama-
hington/preparing-for-the-
conversion-from-ICD9-
ICD10.pdf
Only
A link to search results on ICD-10 information from the American
Physical Therapy Association.
American Physical
Therapy Association
http://www.apta.org/searc
h.aspx?q=ICD-10/
Only
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/Sear
ch.aspx?q=ICD-10&site=All
57 Documentation
Improvement
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/acdi
s/details.cfm?content_id=2
57954
58 Documentation
Improvement
The article "What Impact Will ICD-10 Have on MS-DRG
Payments?" discusses the financial impact of ICD-10.
Association of
Clinical
Documentation
Improvement
Specialists
57688
59 Documentation
Improvement
The article "Use OIG Compliance Tips for ICD-10 Implementation"
describes the compliance aspect of ICD-10 implementation.
Association of
Clinical
Documentation
Improvement
Specialists
57089
60 5010 "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 whos 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/w5010BasicsFc
tSht.pdf
61 5010 "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.
Centers for
Medicare and
Medicaid Services
/Downloads/X12Responsest
oTechnicalCommentsonVer
sion5010.pdf
62 5010 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.
Centers for
Medicare and
Medicaid Services
http://www.cms.gov/MLNP
roducts/downloads/5010ED
I_RefCard_ICN904284.pdf
63 5010 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.
Centers for
Medicare and
Medicaid Services
http://www.cms.gov/Versio
ns5010andD0/01_overview.
asp
10-CM/PCS
An overview of ICD-10 Centers for
Medicare and
Medicaid Services
https://www.cms.gov/ICD1
0/01_Overview.asp
10-CM/PCS
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.
Centers for
Medicare and
Medicaid Services
0/05a_ProviderResources.a
sp
66 Communication News, updates CMS offers ICD-10 industry updates via e-mail. Archived updates
are available at this URL as well as a link to subscribe.
Centers for
Medicare and
Medicaid Services
0/02d_CMS_ICD-
10_Industry_Email_Updates
.asp
10-CM/PCS
Implementation
Issues, Training,
Mapping and
Legacy Data
Information and educational resources for Medicare fee-for-
service (FFS) providers.
Centers for
Medicare and
Medicaid Services
/06_MedicareFeeforService
ProviderResources.asp
10-CM/PCS
Code Sets
Maintenance
A special issue of "MLN Matters" announcing the ICD-9 and ICD-
10 code freezes in effect for 2012 and 2013.
Centers for
Medicare and
Medicaid Services
http://www.cms.gov/MLN
MattersArticles/downloads/
SE1033.pdf
10-CM/PCS
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
Centers for
Medicare and
Medicaid Services
SE1019.pdf
70 ICD-10-CM 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.
Centers for
Medicare and
Medicaid Services
/11b14_2012_ICD10CM_an
d_GEMs.asp
71 ICD-10-PCS 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.
Centers for
Medicare and
Medicaid Services
/11b15_2012_ICD10PCS.as
p
72 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
Centers for
Medicare and
Medicaid Services
0/04_CMSImplementationPl
anning.asp
73 Implementation
Issues
"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.
Centers for
Medicare and
Medicaid Services
0/Downloads/ICD10_Initial_
Findings_Report.pdf
74 Implementation
Issues
"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.
Centers for
Medicare and
Medicaid Services
0/Downloads/ICD-
10IndustryListeningSessionS
ummary.pdf
75 Implementation
Issues
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.
Centers for
Medicare and
Medicaid Services
0/07a_MedicaidResources.a
sp
76 Implementation
Issues
Medicaid Resource 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.
Centers for
Medicare and
Medicaid Services
http://www.cms.gov/Medic
aidInfoTechArch/downloads
/Medicaid_ICD-
10_Implementation_Assista
nce_Handbook.pdf
77 Implementation
Issues
Medicaid resource 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
Centers for
Medicare and
Medicaid Services
http://www.cms.gov/Medic
aidInfoTechArch/07_ICD-
10TrainingSegments.asp
78 Implementation
Strategy
Timeline "ICD-10 and Version 5010 Compliance Timelines- Overview of
Key Dates"
Centers for
Medicare and
Medicaid Services
0/03_ICD-
10andVersion5010Complian
ceTimelines.asp
79 Implementation
Strategy
Timeline Implementation Widget and Timelines: This tool assists the user
in identifying and taking action on the timeline benchmarks.
Centers for
Medicare and
Medicaid Services
0/03_ICD-
10andVersion5010Complian
ceTimelines.asp
80 Implementation
Strategy
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
Centers for
Medicare and
Medicaid Services
/02b_Latest_News.asp
Data
"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.
Centers for
Medicare and
Medicaid Services
/17_ICD10_MS_DRG_Conve
rsion_Project.asp
Data
"ICD-10-CM/PCS to ICD-9-CM Reimbursement Mappings
2011 Version Documentation and Users 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
Centers for
Medicare and
Medicaid Services
/Downloads/2011_Reimbur
sement_Mapping_User_Gui
de.pdf
83 Process/System
Impact
"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.
Centers for
Medicare and
Medicaid Services
0/Downloads/AHIMASumm
ary.pdf
84 Process/System
Impact
MLN Matters Number MM7492 on Medicare Fee-For-Service
(FFS) Claims Processing Guidance for Implementing ICD-10-
CM/PCS
Centers for
Medicare and
Medicaid Services
MM7492.pdf
85 Process/System
Impact
Quality and Patient
Safety Measures
Provides conversion timeframes for the physician quality
reporting system (PQRS)
Centers for
Medicare and
Medicaid Services
https://www.cms.gov/PQRS
/Downloads/PQRS_and_ICD-
10_Conversion_Milestones
05-10-11.pdf
and HIPAA
CMS fact sheet of the final 1CD-10 implementation rule released
on January 15, 2009
Centers for
Medicare and
Medicaid Services
https://www.cms.gov/apps/
media/press/factsheet.asp?
Counter=3407&intNumPerP
age=10&checkDate=&check
Key=2&srchType=2&numDa
ys=0&srchOpt=0&srchData=
icd%252D10&keywordType
=All&chkNewsType=6&intP
age=&showAll=1&pYear=&y
ear=0&desc=&cboOrder=da
te
and HIPAA
CMS website, contains links to the final rule and transitions and
code sets regulations
Centers for
Medicare and
Medicaid Services
0/10a_Statute_Regulations.
asp
and HIPAA
This is a CMS website for Standards for Electronic Transactions,
New Versions, New Standards and New Code Set -Final Rule.
Additional downloads are available
Centers for
Medicare and
Medicaid Services
https://www.cms.gov/Trans
actionCodeSetsStands/02_T
ransactionsandCodeSetsReg
ulations.asp
89 State Medicaids Links to each state Medicaid website
(Download List of State Medicaid Program Websites)
Centers for
Medicare and
Medicaid Services
http://www.cms.gov/medic
aideligibility/
90 Training CMS
Teleconferences.
Training,
Implementation
Issues
PDF files and some podcasts for CMS-hosted national provider
education teleconferences on ICD-10-CM/PCS.
Centers for
Medicare and
Medicaid Services
/Tel10/list.asp
91 Training Implementation
Issues, Background
of ICD-10-CM/PCS,
Mapping and
legacy data
News and updates from CMS on activities and educational
opportunities, including national provider teleconferences
Centers for
Medicare and
Medicaid Services
0/02b_Latest_News.asp
Only
Implementation
Strategy
ICD-10 Implementation Strategies for Physicians National
Provider Call
Centers for
Medicare and
Medicaid Services
/Tel10/itemdetail.asp?filter
Type=none&filterByDID=-
99&sortByDID=1&sortOrder
=descending&itemID=CMS1
249632&intNumPerPage=1
0
93 Vendor/Payer
Contractual Issues
CMS website directed at vendor readiness for the I-10 transition.
Additional resources available
Centers for
Medicare and
Medicaid Services
0/09a_Vendor_Resources.a
sp
94 Vendor/Payer
Contractual Issues
A two-page tip sheet titled "Talking to Your Customers About ICD-
10 AND Version 5010: Tips for Software Vendors."
Centers for
Medicare and
Medicaid Services
0/Downloads/ICD10Talkingt
oCustomersforVendors2010
0409.pdf
and HIPAA
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.g
ov/2009/pdf/E9-740.pdf
and HIPAA
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)
http://edocket.access.gpo.g
ov/2009/pdf/E9-743.pdf
97 Training Get Body Smart: An Online Textbook about Human Anatomy and
Physiology.
Get Body Smart http://www.getbodysmart.c
om/
98 Budgetary Issues 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/cont
ent/files/HIMSSICD-
10CostPredictionModeltool.
xlsx
99 Implementation
Issues
Background of
ICD-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.
Healthcare
Information and
Management
Systems Society
http://www.himss.org/cont
ent/files/FinancialSystemsR
esourceListing.pdf
100 Implementation
Strategy
The HIMSS "ICD-10 PlayBook" provides information to assist
hospitals, ambulatory centers, practitioners, and their staff in
transitioning to ICD-10.
Healthcare
Information and
Management
Systems Society
http://www.himss.org/ASP/
topics_ICD10Playbook.asp
101 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
HIPAASpace http://www.hipaaspace.co
m/Medical_Billing/Coding/B
illing_Code_Lookup_Service
s.aspx
102 ICD10Data.com is the free ICD-10 medical coding website
ICD10Data.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.
ICD10Data.com http://www.icd10data.com/
Only
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/pre
ss/default.aspx?id=22586
104 Implementation IssuesMinnesota ICD-10 information from the Minnesota Health Information
Management Association
Minnesota Health
Information
Management
Association
http://www.mnhima.org/
105 ICD-10-CM Provides a synopsis of ICD-10-CM's background National Center for
Health Statistics
http://www.cdc.gov/nchs/ic
d/icd10cm.htm
106 ICD-10-CM Code Sets ICD-10-CM Official Guidelines for Coding and Reporting, 2012 National Center for
Health Statistics
http://www.cdc.gov/nchs/d
ata/icd10/10cmguidelines2
012.pdf
107 Process/System
Impact
Quality and Patient
Safety Measures
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
108 Background of ICD 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/re
search/umls/sourcerelease
docs/current/ICD10AE/
109 ICD-10-PCS 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/re
search/umls/sourcerelease
docs/current/ICD10PCS/
110 Process/System
Impact
Quality and Patient
Safety Measures
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.o
rg/Publications/2010/10/IC
D-10-
CM/PCS_Coding_Maintenan
ce_Operational_Guidance.a
spx
111 NJDDCS This booklet shows the adaptation of the NJDDCS for ICD-10. New Jersey
Department of
Health
http://www.state.nj.us/heal
th/healthcarequality/ub/20
08/NJDDCS_V2_Compariso
n_of_Data_Fields.pdf
112 ICD-10 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/heal
th/bc/documents/hitc10/hit
_operational_plan_onc.pdf
113 Implementation IssuesMedicaid Resource Medicaid ICD-10 Implementation Assistance Launch Page Noblis and Center
for Medicaid, CHIP,
and Survey and
Certification
https://medicaidicd10.nobli
s.org/navigation/
114 Vendor/Payer
Contractual Issues
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/ne
wsletter/MITS_0209.pdf
115 Vendor/Payer
Contractual Issues
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
Data
GEMs Presentation on the GEM files and how they are used Pennsylvania Health
Information
Management
Association
www.phima.org
117 Process/System
Impact
ICD-10; Post-
implementation
A listing of reports that may be useful post-ICD-10
implementation.
Pennsylvania Health
Information
Management
Association
www.phima.org
118 Background of ICD ICD-10 without CM General information on WHO classification of
diseases and ICD-10.
World Health
Organization
http://www.who.int/classifi
cations/icd/en/
119 Other WHO Topic
Advisory Groups
The link pertains to WHO and their Topic Advisory Groups(TAGS) World Health
Organization
http://www.who.int/classifi
cations/icd/TAGs/en/index.
html
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