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Provider Resources

On this web page you will find educational resources especially for health care providers to prepare you for the transitions to:
• Version 5010 standards for electronic health claims: compliance deadline January 1, 2012
• ICD-10 medical coding: compliance deadline October 1, 2013

The compliance standards are firm and are not changing. If you are not ready, your claims will not be paid. Preparing now can help you avoid potential reimbursement issues.

Understanding the Basics
If you are not sure how to prepare, begin by learning about the ICD-10 and Version 5010 transition and basics for medical practices. Be sure to talk with your vendors about how they will support you during the transition.

Read about ICD-10 myths and facts and get your questions answered in the ICD-10 FAQ sheet on transition basics. For information about the history and structure of the ICD-10 code set, see the ICD-10 overview fact sheet .

Implementation Handbooks

CMS has developed four Implementation Handbooks as additional resources to assist the health care industry with the transition from ICD-9 to ICD-10 codes. Each guide provides detailed information for planning and executing the ICD-10 transition process. Use the guides as a reference whether you're in the midst of the transition or just beginning the process.

The appendix of each handbook references relevant templates which are available for download in both Excel and PDF files below. The templates are customizable and have been created to help entities clarify staff roles, set internal deadlines/responsibilities and assess vendor readiness.

View the tailored step-by-step plans and relevant templates for each of the following audiences impacted by the transition:

Large Provider Practices [PDF, 2,773KB]
1. Relevant Templates

Small Hospitals [PDF, 3,548KB]
1. Relevant Templates

Small/Medium Provider Practices [PDF, 3,116KB]
1. Relevant Templates

Implementation Timelines
To help you with the transition, download our timeline widget or view the printer friendly versions of the large providers and small providers compliance timelines.

Overview PowerPoint Presentation
The master ICD-10 overview PowerPoint presentation slides are available to be shared with your colleagues, practice, hospital or anyone else involved in the transition.

CMS AAPC Code-a-thon

CMS and the American Academy of Professional Coders (AAPC) collaborated on an ICD-10 Code-a-thon event on April 26, 2011. Coding experts from AAPC responded to nearly 250 questions from the more than 1,200 participants who joined online or by phone. If you weren't able to join the event, you can view the CMS PowerPoint presentation, AAPC PowerPoint presentation, transcript, video, and audio file.

Downloads
 
Related Links Inside CMS
Compliance Timelines

Medicare Learning Network

Version 5010

Version 5010 basics [PDF, 955KB]
Related Links Outside CMSExternal Linking Policy
American Academy of Family Physicians (AAFP)

American Academy of Professional Coders (AAPC)

American Health Information Management Association (AHIMA)

American Hospital Association (AHA)

American Medical Billing Association (AMBA)

Healthcare Information and Management Systems Society (HIMSS)

Workgroup for Electronic Data Interchange (WEDI)

 

Page Last Modified: 12/22/2011 3:47:53 PM
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