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ICD-10 Updates

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In 2014, the U.S. Department of Health and Human Services (HHS) issued a rule finalizing October 1, 2015 as the compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10  
We 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. 
ICD-10 Topic: Clinical Documentation Improvement  
Now is the time to focus on clinical documentation improvement (CDI). ICD-10 offers greater specificity than ICD-9, allowing documentation to be translated into an accurate and clear clinical picture. One of the best ways to prepare for the upcoming ICD-10 deadline is by improving your clinical documentation now. Failing to prepare for ICD-10 documentation requirements could impact your revenue. Missing information may prevent claims from even being submitted. Taking steps now to improve your clinical documentation will be foundational in helping your practice experience fewer delays and denials. 
The benefits of more complete documentation of the clinical encounter can 1) enhance the accuracy of your billing; 2) support the practice during payment audits; and 3) improve transitions of care for your patients by giving downstream providers a more complete record. 
Here are resources to help guide you in your efforts to improve clinical documentation. 
CMS and AHIMA: ICD-10 Clinical Documentation Improvement Webinar
CMS recently collaborated with AHIMA to present a webinar on clinical documentation improvement. Watch the recording to learn about why detailed clinical documentation is important for the ICD-10 transition and steps for training your staff. To access the recording, please register for the webinar on the AHIMA webpage (originally presented 12/10/2014). A PDF of this presentation is available here
ICD-10 Documentation Tips (by AHIMA)
The AHIMA CDI Workgroup has responded to the needs of ICD-10 implementation by creating a large library of CDI ICD-10 documentation tips that are now available for the healthcare industry. These tips focus on the language and/or wording that will garnish greater details and specificity of the coded data for a given diagnosis, condition, disease and/or surgical procedure. 
CMS: ICD-10 and Clinical Documentation Video (by Medscape)
Access this Medscape Education video that provides guidance around the transition to ICD-10. Continuing medical education (CME) and nursing continuing education (CE) credits are available to health care professionals who complete the learning module, but anyone can take them and earn a certificate of completion. If you are a first-time visitor to Medscape, you will need to create a free account to access these resources. 
ICD-10 FAQs for Providers
This FAQ contains educational information about ICD-10, as well as answers to questions about our ICD-10 implementation  
Key Project Information
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 Implementation Resources to assist you
Suggested resources to help with your ICD-10 transition.  
Contact Us
For ICD-10 questions and surveys, send us an email to ICD10-Inquiry@anthem.com  
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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