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Payer Resources

The transition to ICD-10 on October 1, 2013, will involve new coding rules, so it will be important for payers to review payment policies. 

A related transition-from Version 4010 to Version 5010 standards for electronic health claims-must be complete on January 1, 2012.

Payers should:
• Ask software vendors about their readiness plans and timelines for product development, testing, availability, and training.
• Be conducting external testing Version 5010 software solutions.
• Have an ICD-10 implementation plan and a transition budget in place.
• Download our timeline widget or view the printer friendly version of the payers implementation timeline to be sure that your preparations for Version 5010  and ICD-10 are on track.

Implementation Handbooks
CMS has developed an Implementation Handbook for Payers as an additional resource to assist with the transition from ICD-9 to ICD-10 codes. The guide provides detailed information for planning and executing the ICD-10 transition process. Use the guide as a reference whether you're in the midst of the transition or just beginning the process.

The handbook appendix 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 payers clarify staff roles, set internal deadlines/responsibilities and assess vendor readiness.

Downloads
 
Related Links Inside CMS
Reimbursement Mapping Guide

Version 5010
Related Links Outside CMSExternal Linking Policy
America's Health Insurance Plans (AHIP)

Blue Cross Blue Shield Association (BCBSA)

 

Page Last Modified: 12/22/2011 3:51:01 PM
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