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ICD-10 Updates

PW_E169296
Updated January 2013  

U.S. Department of Health and Human Services (HHS)
has issued the final rule mandating that everyone covered
by the Health Insurance Portability and Accountability Act
(HIPAA) must implement ICD-10 for medical coding
effective October 1, 2014. 
 
We are committed to ensuring that our systems, supporting
business processes, policies and procedures successfully
meet the implementation standards and deadlines without
interruption to day-to-day business practices. 
ICD-10 Readiness Statement  
Preparing for ICD-10
Below are suggested action steps to help you move towards
compliance with this federally mandated requirement. 
Be educated. Start reviewing ICD-10 code set changes
now to plan for upcoming changes.
Plan. ICD-10 compliance will result in guidance and
operational changes from payers. Understand the impact
to your practice and plan accordingly.

Research. Investigate necessary changes to your existing practice work flow and business processes based on your patient population.
Become Compliant. Ensure your vendors and partners can support your ICD-10 adoption activities and understand their timelines.
Train. Train staff to handle ICD-10 codes and adapt to coding, authorization and billing changes.
 
Resources and Other Information New
We have made several key decisions that will guide our implementation strategy and will be useful as you plan your transition to ICD-10.
ICD-10 Claims Processing
ICD-10 Pre-Authorization
ICD-10 Testing  
 
ICD-10 FAQs for Providers Updated January 2013  
ICD-10 Site for Billing Services and Clearinghouse
If you are a provider who submits claims directly to us, this information will be useful to you. If your practice/organization uses a billing service or clearinghouse, you can forward the link to this website to help them stay informed about our ICD-10 implementation activity. 
 
ICD-10 Provider Newsletter Articles
January/February 2013 – Successful ICD-10 Test Strategies to Help Providers Gain Insight
November/December 2012 – ICD-10 Check-up: How Am I Doing?
September/October 2012 – ICD-10: Will You Be Ready to Test On-Time?
July/August 2012 – Testing Matters and No Time to Delay: Use Time Wisely
 
Contact Us
For ICD-10 questions and surveys, send us an email to ICD10-Inquiry@anthem.com  
Additional Resources
CMS (Centers for Medicare & Medicaid Services)
BCBSA (Blue Cross and Blue Shield Association)
AHIMA (American Health Information Management Association)
HIMISS (Healthcare Information and Management Systems)
AAPC (American Academy of Professional Coders)
WEDI (Workgroup for Electronic Data Interchange)  
 
©2005-2013 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use