Moving to ICD-10 Codes in the Arkansas Health Care System
As of Oct. 1, 2015, all providers billing Arkansas Medicaid will be required by the United States Department of Health and Human Services (HHS) to use billing codes outlined in the International Classification of Diseases, 10th Edition (known as ICD–10). The federal mandate requires all health plans, clearinghouses and healthcare providers to use ICD-10 diagnosis and procedure codes. Arkansas Medicaid already has begun preparing for the shift to ICD-10.
 The International Classification of Diseases, 10th Edition (ICD-10) consists of two parts: 
1. ICD-10-CM (Clinical Modification) for diagnosis coding
2. ICD-10-PCS (Procedure Coding System) for inpatient procedure coding.
ICD-10-CM is used in all U.S. health care settings and uses 3 to 7 alphanumeric characters instead of the current 3 to 5 digit codes (numeric, with the exception of E and V codes) used by ICD-9-CM, Volume 1 & 2 diagnosis codes. ICD-10-PCS is used for inpatient procedures and uses 7 alphanumeric characters instead of the 3 to 4 numeric digits of ICD-9-CM, Volume 3.
 The Arkansas Medicaid (www.medicaid.state.ar.us) and this website will be updated throughout the ICD-10 implementation process, including with information about opportunities for trainings. Please check back frequently for important updates.  

News for 2015

HRSA Announces Free ICD-10 Webinar                                                                  -March 23, 2015
 
A free webinar presented by HRSA will be broadcast at 1:00 PM on March 27, 2015. The content is focused on Critical Access Hospitals, Federally Qualified Health Centers, Rural Health Clinics and other small provider sites. Additional information, including access information can be obtained here: HRSA_ICD-10_Webinar_Posting_3-20-15.docx. We encourage you to take advantage of these free resources as we continue to move closer to the October 1, 2015 compliance date.

Release of Content Based Testing Tool                                          
                        -March 13, 2015
 
DMS is pleased to announce the availability of the Content Based Testing (CBT) Tool for use by providers and their office staff. The tool will be available for use through May 1, 2015 . You can access the CBT tool at: http://icd10cbt.com/moodle/

The CBT tools provides an opportunity for you to test your coding skills in both ICD-9 and ICD-10. The tool provides over 150 clinical scenarios that cover a wide range of practice specialties. The tool also includes a step-by-step tutorial to help you become familiar with its use and functionality. There is also a survey at the end of each clinical pathway which affords you the user an opportunity to provide feedback on the tool. We welcome your input and suggestions as we continue to work toward the ICD-10 compliance date of October 1, 2015.

ICD-10 Testing for Small Providers Article                                                            -March 06, 2015
 
The Workgroup for Electronic Data Interchange (WEDI) has just released a whitepaper that discusses the need for ICD-10 testing. This whitepaper specifically focuses on small providers and the steps that should be employed when performing external ICD-10 testing. The whitepaper takes the reader through the who, what, where, when, why and how categories related to testing in an attempt to ensure ICD-10 compliance on October 1, 2015. You can access the whitepaper here.
WEDI_Small_Provider_Testing_White_Paper_3-2015.pdf

CMS ICD-10 Testing Updates                                                                             -February 26, 2015
 
The Centers for Medicare & Medicaid Services Administrator, Marilyn Tavenner discusses the results of the ICD-10 End-to-End Testing conducted recently. Please follow this link for the latest updates from CMS.
http://blog.cms.gov/2015/02/25/successful-icd-10-testing-shows-industry-ready-to-take-next-step-to-modernize-health-care/

Provider Manual ICD-10 Updates Available                                                    -February 25, 2015 
Arkansas Medicaid has recently completed updates to the provider manuals, along with impacted forms, that specifically list ICD-9 codes in preparation for the transition to ICD-10 on October 1, 2015. These coding formats and changes are being made available to the provider community for review and to utilize when testing with Arkansas Medicaid.  More information is available on the Arkansas Medicaid page located at:  https://www.medicaid.state.ar.us/InternetSolution/Provider/ICD10info.aspx.
Providers are urged to review this information and become familiar with the coding changes that will impact their practice.  Questions regarding ICD-10 may be submitted via the ICD-10 mailbox located on the AR ICD-10 website:  http://humanservices.arkansas.gov/dms/Pages/ICD-10.aspx.  Please note:  specific coding questions or requests for translations will not be provided.
 
ICD-10 Videos Now Available                                                                                 -February 20, 2015
 
CMS has released two short videos that provide an introductory overview of ICD-10 and one that addresses coding Diabetes in ICD-10. These videos are approximately 4 minutes in length and can be accessed by following the link listed below.
CMS_Video_Updates_2-20-2015.docx

ICD-10 Updates                                                                                                        -February 19, 2015
 
As the healthcare industry continues to prepare for the transition to ICD-10 later this year, interest in those efforts is being monitored by members of Congress. By flowing the links below you will find updates from the Congressional Hearing held in Washington, DC on February 11, 2015 in addition to new estimates of the cost of ICD-10. Both articles address the need for continued forward movement at the local, state and national level to ensure industry compliance. DMS is committed to providing the resources the provider community needs to be ready for the transition to ICD-10 on October 1, 2015. Questions and concerns can be emailed to the ICD-10 mailbox located at the bottom of this page.
Survey_Reveals_ICD_Costs_Lower_2-16-15.docx
5_Takeaways_from_the_House_hearing_on_ICD_2-16-15.docx
 
ICD-10 Updates from CMS                                                                                        -January 23, 2015
 
As the industry continues preparations for the transition to ICD-10 on October 1, 2015, CMS has provided helpful information regarding resources and compliance efforts. The information includes an introduction to ICD-10 as well as the potential impacts on your practice and the need for communication with your vendors and payers. The information can be accessed by following the link below.
CMS_News_Updates_1_26_2015.pdf

Remember, there is an option below to submit questions to the ICD-10 Mailbox. We welcome your input regarding this website as well as any questions you may have.

A High-Impact, Low Cost Approach to Physician Practice ICD-10 Implementation in 2015                                                                                                                               -January 7, 2015
 
As the healthcare industry transitions to ICD-10 later this year, physician practices will need an aggressive action plan to ensure compliance and avoid operational disruptions. A well thought out action plan will assist with addressing these challenges and ensure compliance on October 1, 2015. The following article outlines high-impact, low-cost steps that practices can take to move forward with ICD-10.
Click Here to view the article
 

News for 2014

Clinical Documentation Improvement Webinar Recording Available                                                                                                               -December 19, 2014
 
The Centers for Medicare & Medicaid Services (CMS) recently collaborated with the American Health Information Management Association (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
• Steps for training your staff
• Additional resources and information To access the recording, please register for the webinar. A PDF of the presentation and frequently asked questions about ICD-10 are also available on the ICD-10 page of the AHIMA website.
 
ICD-10 Code Books Available                                                                            -December 15, 2014
 
If you have not obtained your 2015 ICD-10 Code Books it’s not too late.  They can be obtained through Contexo, Optum, AAPC and AHIMA.  The cost for the ICD-10-CM Code Book is approximately $100.  The links listed below will assist you in accessing the code books you will need as you begin to review the relevant codes used in your practice and train your staff for the conversion to ICD-10.  Remember; claims submitted for dates of service on or after October 1, 2015 MUST be submitted in ICD-10.
 
 
New CMS ICD-10 Video Released                                                                     -December 11, 2014
 
CMS has recently released a video that is designed to assist the provider community in their ICD-10 preparations.  The 37-minute video covers key topics such as the differences between ICD-9 and ICD-10, how to assign a diagnosis code using ICD-10, code structures, coding process and examples and resources for coders.  The video can be accessed by clicking on the link below:
 
https://www.youtube.com/watch?v=s86pXhhOG7c&list=UUhHTRPxz8awulGaTMh3SAkA
CMS Resources for ICD-10                                                                                  -November 7, 2014
The Centers for Medicare and Medicaid has recently provided additional resources for use in the transition to ICD-10.  You can access these free resources by following the link below.  In addition to the resources being provided free of charge, they also provide continuing education credits for physicians as well as healthcare professionals who complete the learning modules.  Please take advantage of these resources as you continue your preparation efforts for ICD-10!
DMS Testing Update                                                                                        -August 25, 2014
Arkansas Medicaid continues to work with our Fiscal Agent; HP in the remediation efforts of our claims processing systems.  These updates will ensure that ICD-10 codes submitted for dates of service on or after October 1, 2015 will be received, processed and paid according to DMS policy and fee schedule.  Following completion of the remediation process, testing with our providers will be initiated.  At this time we do not have a scheduled date for testing but will be updating the AR ICD-10 website as that information becomes available.  Additional messaging will be conveyed to the provider community through the HP Provider Wire publication, RA messaging and Call Center on-hold messages.  We appreciate your participation in the efforts that are currently underway to ensure that everyone is ICD-10 compliant on October 1, 2015.
 
Updates from CMS….The Road to I-10                                                           -August 18, 2014
Follow the attached link to access an update from CMS regarding information and free webinars focusing on provider preparation for ICD-10.  The compliance date has been moved to October 1, 2015, but there are many activities you should be engaged in now to prepare.  Don’t miss these free resources provided by CMS.
                                                                                                                                      

News for 2014-2015 (old)

 
NATIONAL PROVIDER CALL                                                                                      -February 2, 2015
 
NATIONAL PROVIDER CALL: There is a call scheduled for February 22, 2015 which will focus on “ICD-10 Implementation & Medicare Testing”. The link to register is provided in the attached notice. We encourage you to take part in this call which will also allow you to participate in a Q & A session at the conclusion of the presentation.
ICD10_National_Provider_Call_2-2015.docx

Release of Content Based Testing Tool                                                            -November 20, 2014
DMS is pleased to announce the launch of the Content Based Testing (CBT) Tool for use by providers and their office staff.  The tool will be available for use through January 23, 2015.  We anticipate making the tool available again in April, 2015 following any modification and updates that may be required.  You can access the CBT tool at:  http://icd10cbt.com/moodle/

The CBT tools provides an opportunity for you to test your coding skills in both ICD-9 and ICD-10.  The tool provides over 150 clinical scenarios that cover a wide range of practice specialties.  The tool also includes a step-by-step tutorial to help you become familiar with its use and functionality.  There is also a survey at the end of each clinical pathway which affords you the user an opportunity to provide feedback on the tool.  We welcome your input and suggestions as we continue to work toward the ICD-10 compliance date of October 1, 2015.
 
ICD-10 National Provider Call                                                                      -November 5, 2014
CMS held a National Provider Call on Wednesday, November 5, 2014.  The call focused on the preperation efforts of the industry for the transition to ICD-10 on October 1, 2015.  The presentation also addressed educational resources that have been made available from CMS.  These resources are applicable to all providers, regardless of their specialty.  If you were unable to attend the call, the link below will direct you to the slides.
 
You are encouraged to utilized this information as well as the other resources available at: www.roadto10.gov and http://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/icd10/
 
CMS NEWS-Deadline set for October 1, 2015                                                         -August 7, 2014
CMS Media Relations Contact:
(202) 690-6145 or press@cms.hhs.gov                                                         Deadline for ICD-10 allows health care industry ample time to prepare for change.
The U.S. Department of Health and Human Services (HHS) issued a rule today finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.
The ICD-10 codes on a claim are used to classify diagnoses and procedures on claims submitted to Medicare and private insurance payers. By enabling more detailed patient history coding, ICD-10 can help to better coordinate a patient’s care across providers and over time. ICD-10 improves quality measurement and reporting, facilitates the detection and prevention of fraud, waste, and abuse, and leads to greater accuracy of reimbursement for medical services. The code set’s granularity will improve data capture and analytics of public health surveillance and reporting, national quality reporting, research and data analysis, and provide detailed data to enhance health care delivery. Health care providers and specialty groups in the United States provided extensive input into the development of ICD-10, which includes more detailed codes for the conditions they treat and reflects advances in medicine and medical technology.
“ICD-10 codes will provide better support for patient care, and improve disease management, quality measurement and analytics,” said Marilyn Tavenner, Administrator of the Centers for Medicare & Medicaid Services (CMS). “For patients under the care of multiple providers, ICD-10 can help promote care coordination.”
Using ICD-10, doctors can capture much more information, meaning they can better understand important details about the patient’s health than with ICD-9-CM. Moreover, the level of detail that is provided for by ICD-10 means researchers and public health officials can better track diseases and health outcomes. ICD-10 reflects improved diagnosis of chronic illness and identifies underlying causes, complications of disease, and conditions that contribute to the complexity of a disease. Additionally, ICD-10 captures the severity and stage of diseases such as chronic kidney disease, diabetes, and asthma.
The previous revision, ICD-9-CM, contains outdated, obsolete terms that are inconsistent with current medical practice, new technology and preventive services.
ICD-10 represents a significant change that impacts the entire health care community. As such, much of the industry has already invested resources toward the implementation of ICD-10. CMS has implemented a comprehensive testing approach, including end-to-end testing in 2015, to help ensure providers are ready. While many providers, including physicians, hospitals, and health plans, have completed the necessary system changes to transition to ICD-10, the time offered by Congress and this rule ensure all providers are ready.
For additional information about ICD-10, please visit:
 
 
Road to I-10: Hints & Tips                                                                                      -June 11, 2014
Although the transition to ICD-10 has been pushed back until “no sooner than October 1 2015”; providers are encouraged to continue to evaluate their IT infrastructure, their office throughput and their documentation practices.  CMS has recently launched a website that will assist provider in this endeavor.  The “Road to 10” was developed with the small physician practice in mind.  This link will provide information on the basics and benefits of ICD-10 as well as free webcasts related to documentation, specific to each specialty:    http://www.roadto10.org/
 
Please let Arkansas Medicaid know how we can continue to assist you in your journey to ICD-10 compliance by sending us an email at:  ICD10DMS@arkansas.gov
 
Basic ICD-10 Overview- Provider Education                                                                 -April 3, 2014
This article describes the status of ICD-10, the impact of these changes as well as additional information.
ICD-10 Basic Overview and Transition.pd
 
New From CMS                                                                                                     -March 10, 2014
This article was published in Becker’s Hospital Review last week.  It includes a link to an ICD-10 Impact Assessment Checklist published by the AMA.  We hope you find this information helpful as you continue to prepare for the transition from ICD-9 to ICD-10 on October 1, 2014.
As the healthcare industry continues to move forward towards the ICD-10 compliance date of October 1, 2014; CMS has dedicated a website specific to the needs of Physician Practices.  The tools and references are available at no cost to the user.  Please visit this website and take advantage of the latest information from CMS.
 
MLN Matters SE1409 ICD-10 Testing Coding Process and Examples                                        
(Click on this link below to get to the document.)
CMS_Testing_Article_2.2014                                                                                -February 21, 2014
 
Provider Links & Tip Sheet
We have created a tip sheet to assist provider offices in the continuing transition to ICD-10.  This is not intended to be an all-inclusive list, but rather a starting point of leading industry resources.  We hope you find this information helpful.
(Clink on this link to get to the document.)
Provider Tip Sheet                                                                                               -February 21, 2014
 
Free ICD-10 Coding Webinars                                                                                              
The American Hospital Association (AHA) is hosting a series of 4 free webinars in 2014.  The AHA is your source for quality coding education and they are providing these webinars free of cost.  The first webinar; entitled:
ICD-10 for Rural and Critical Access Hospitals – A Roadmap for Successful Implementation will be held on March 12, 2014.  Click on this link for additional information and registration:
(Click on this link to get to the documents.) 
 
ICD-10 for Rual & Critical Access Hospitals                                                             -February 20, 2014
 
 
OMB Receives Interim Final Rule Regarding ICD-10 Compliance Date:                              -July 1, 2014
 
Follow the link below to read the latest on the revised ICD-10 compliance date. The Interim Final Rule (IFR) was delivered to the Office of Management and Budget (OMB) on Friday June 13th for review. Following
review and approval by the OMB, it will be published in the Federal Register. The article outlines some of the challenges and concerns of the industry related to the latest proposed compliance date of October 1, 2015.
 
ICD-10 TESTING VOLUNTEERS NEEDED                                                                      -June 2, 2014
 
Arkansas Medicaid continues to move forward in our ICD-10 remediation and transition work efforts. We need providers who will assist us in testing our recently developed Content Based Testing Tool. This tool will present the user with a clinical scenario that will be coded using ICD-9 and ICD-10 codes. The user will be provided with feedback regarding the accuracy of the codes that have been assigned to the scenario. This is a great opportunity for you to begin training your staff in ICD-10 coding! We would encourage you to take advantage of this FREE opportunity that will assist you and your staff as well as provide Arkansas Medicaid with feedback regarding the tool. If you are interested in volunteering, please send an email to: ICD10DMS@arkansas.gov and include your name and contact information. We will notify you regarding the testing dates. We appreciate your willingness to assist us as we continue to move toward the ICD-10 compliance date.
 
 
ICD-10 Update                                                                                                  -April 14, 2014
On April 30, 2014 CMS released the 2015 IPPS Proposed Rule, wherein CMS states on page 648 that the “The ICD-10-CM/PCS transition is scheduled to take place on October 1, 2015”. We will continue to keep you updated as additional details are released. We encourage you to continue moving forward with your education, training and testing initiatives.
 
SMA Announces ICD-10 Webinars:                                                                      -March 11, 2014
The Southern Medical Association is hosting several ICD-10 Readiness webinars in the coming weeks. Please take advantage of these free webinars as the industry continues to prepare for the October 1, 2014 compliance date for ICD-10.
 
News Update for CMS ICD-10 in 2014 -February 6, 2014
This document will help providers plan their transsition to ICD-10.
(Please click on link below for document.
 
Medscape in collaboration with CMS has produced two videos designed to assist providers in small provider offices as they prepare for the transition to ICD-10 on October 1,2014. If you are unable to view the video, the written content is provided as well. These presentations also offer free CE credit for physicians and nurses. Instructions for obtaining CE are included on the video and in the written materials provided.
(Click on these links to get to the document.)
 
Transition to ICD10-Video/Article Medscape-809724                                                  - February 3, 2014
Transition to ICD10-Video/Article Medscape-809726                                                  - February 3, 2014
ICD-9 to ICD-10 Crosswalk Diagnoses by Specialty                                                    - January 15, 2014

News for 2013

(Click on these links to get to the documents.)
ICD-10 Physician Readiness                                                                                 -December 17, 2013
ICD-10 Free AAPC Diagnoses Crosswalks                                                               -December 13, 2013
ICD-10 News Updates                                                                                         -November 25, 2013
ICD-10 News - Resources For Providers                                                                 -November 14, 2013
ICD-10 Back to School: Identify How ICD-10 Will Affect Your Practice                       -November 8, 2013
FAQs for Atypical Providers                                                                                                      -September 25, 2013
FAQs for Atypical Providers                                                                                  -August 8, 2013

News for 2013 June 13, 2013       

CMS FAQs for ICD-10 Billing
CMS has released three FAQs about submitting ICD-10 claims around the October 1, 2014, deadline. These FAQs update previous information about submitting claims and explain how to split claims for services that span the October 1, 2014, transition date.

The three FAQs on ICD-10 billing discuss these topics:
  • How do I report ICD-10 codes on claims when the dates of service span from prior to 10/1/2014 to on or after 10/1/2014? (#8246)
  • If I submit or process a transaction with an ICD-9 code for a date of service after October 1, 2014, am I HIPAA compliant? (#8248)
  • How long after the October 1, 2014 ICD-10 compliance date must I continue to report and/or process ICD-9 codes? (#8252)

You can find these questions and many other FAQs about ICD-10 at https://questions.cms.gov.

Useful Resources

CMS-1500 Claim Form Updates: Medicare to Accept Revised Form                            - September 5, 2013
Implementation for Physicians, Partial Code Freeze, and MS-DRG Conversion Project MLN Connects™ Video                                                                                                                 - September 4, 2013
Healthcare Dictionary                                                                                           - August 21, 2013
Top 10 ICD-10 Readiness Questions for your Vendors                                              - July 19, 2013
Frequently Asked Questions                                                                                   - October 10, 2014
Information from the Center for Medicare and Medicaid Services can be found at www.cms.gov/ICD10.
Information about the American Health Information Management Association cane be found at www.AHIMA.org
 
Other helpful websites include:
 

Correspondence

 

Contact Information

If you want more information or have questions about Arkansas Medicaid ICD-10 implementation, please contact ICD10DMS@arkansas.gov.