ICD-10 Transition Compliance

The Federal government mandated the new ICD-10 code set because it represents a significant improvement over ICD-9-CM by incorporating greater specificity and clinical detail. This is expected to result in major improvements in the quality and usefulness of coded data by providing more specific data to improve performance, create efficiencies and contain costs.

On April 1, 2014, the President signed H.R. 4302 "Protecting Access to Medicare Act of 2014" (PAMA) into law which allows for a delay in the implementation of ICD-10 to no earlier than October 1, 2015. Even though the date has been delayed, Blue Cross and Blue Shield of Louisiana encourages you to continue your work and progress toward being ready for ICD-10 now.

We were prepared for the October 1, 2014, implementation and we will continue to work forward on helping you prepare for the implementation date of October 1, 2015, (or later based on further guidance received from the government). We have completed an assessment and are currently reviewing potential impacts to our implementation plans in view of the delay in compliance date. As the healthcare industry realigns with the delay of ICD-10, we will keep you informed on the identified impacts to our providers, members and trading partners.

International Classification of Disease (ICD) is a standard set of diagnosis and procedure codes maintained by The World Health Organization (WHO). ICD codes are used to:

  • Identify symptoms, conditions, problems, complaints or other reasons for medical services or procedures being provided
  • Translate written information in a patient's chart into a form that can be submitted electronically for reimbursement
  • Identify provided procedures and services
  • Establish current world mortality code for death records

Did you know that “provider lack-of-readiness” will create major business disruptions for both providers and Blue Cross? Failure to be ready could lead to increased inquiries, the need to file corrected claims and the possibility of suspended claims. Non-compliance will increase business disruptions for provider billing staff and will disrupt provider revenue streams. We want to work with you to avoid any disruptions in your business processes and revenue.

Continue to Prepare for ICD-10

  • Be informed. Review ICD-10 code set changes to plan transition.
  • Be prepared. Understand the impact and plan accordingly. Investigate changes to your existing workflow and business processes based on your patient population. Train staff to handle ICD-10 codes and adapt to coding, authorization and billing changes.
  • Be compliant. Ensure your vendors and partners can support your ICD-10 adoption activities and understand their timelines

 

ICD-10 Implementation Readiness Survey

As Blue Cross prepares for the industry-wide move to ICD-10 on October 1, 2015, we will continue to work forward on helping you prepare for the implementation and want to know the status of your organization’s ICD-10 preparations. Please complete the Blue Cross and Blue Shield of Louisiana’s ICD-10 Implementation Survey by clicking here. This survey will need to be completed by November 18, 2014.

ICD-10 2014 Fall Provider Readiness Survey


 

ICD-10 Professional Testing

As part of Blue Cross ICD-10 transition, we have developed a scenario-based testing portal to support professional providers with ICD-10 readiness testing. This portal will allow you to practice coding clinical scenarios applicable to your specialty using ICD-10 codes. Each specialty will have up to nine frequently encountered clinical narratives for coding. Upon completion, you will have access to compare your coding results with coding results of your peers. To access the Provider Registration tool, click here.

If you have questions about the tool or any other concerns regarding your ICD-10 provider readiness, please email your Blue Cross-related ICD-10 questions to ICD10ProviderCommunications@bcbsla.com.


 

ICD-10 Webinar

This webinar gives an overview of the ICD-10 scenario-based testing and addresses any ICD-10 related questions from providers.

View the Webinar


 

Latest ICD-10 Communications


 

CMS Offers ICD-10 Transition Checklists and Timelines

(By clicking on links below, you will be redirected to CMS’ website)

Do you have more questions about ICD-10? Email us at: ICD10ProviderCommunications@bcbsla.com