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Facilitators: Kit Cairns, WIITTS Karen Navarro, University of WI Hospital Clinics Claudia Yoakum-Watson, WEA Trust and

Introductions Review of this afternoon's sessions:Overview of 5010 and ICD-105010 Working SessionICD-10 Working Session. Welcome!. Agenda for Overview Session5010ICD-10Implementation ResourcesQuestions. 5010 Questions. What is 5010 and why do we have to do this?. Who uses 5010? . EDI 5010 Overview.

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Facilitators: Kit Cairns, WIITTS Karen Navarro, University of WI Hospital Clinics Claudia Yoakum-Watson, WEA Trust and

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    1. Facilitators: Kit Cairns, WIITTS Karen Navarro, University of WI Hospital & Clinics Claudia Yoakum-Watson, WEA Trust and CCRS

    3. Agenda for Overview Session 5010 ICD-10 Implementation Resources Questions

    4. 5010 Questions

    5. What is 5010? Started with requirement that the Secretary of the Department of Health and Human Services (HHS) adopt standards for covered entities to use when they electronically conduct certain health care administrative transactions. The Transactions and Code Sets final rule published on Aug. 17, 2000, adopted standards for the statutorily identified transactions, some of which were modified in a subsequent final rule published on Feb. 20, 2003. On January 16, 2009, HHS announced a final rule that replaces the current Version 4010/4010A and NCPDP Version 5.1 with Version 5010 and Version D.0, respectively.

    6. What is 5010? Improvements in structural, front matter, technical, and data content. More specific in requiring the data that is needed, collected, and transmitted in a transaction. Significant improvements for the reporting of clinical data, enabling the reporting of ICD10CM diagnosis codes and ICD10PCS procedure codes, and distinguishes between principal diagnosis, admitting diagnosis, external cause of injury and patient reason for visit codes.

    7. Because of the Final Rule published by the US Department of Health and Human Services on 1/16/2009: http://edocket.access.gpo.gov/2009/pdf/E9-740.pdf

    8. December, 2010 Complete internal testing able to send & receive compliant transactions January, 2011 Begin external testing with trading partners January 1, 2012 All covered entities must be in production

    9. Covered Entities:

    11. ICD-10 Questions

    12. ICD-10 Code Structure

    13. Diagnosis Code Structure

    14. Procedure Code Structure

    15.

    16. Implementation Tasks

    17. Implementation Tasks

    18. Implementation Tasks

    19. Implementation Tasks

    20. Implementation Tasks

    21. HIPAA COW: www.hipaacow.com WEDI: www.wedi.com CMS: www.cms.gov

    22. CMS Transactions & Codesets: http://www.cms.hhs.gov/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulations.asp ICD 10 Final Rule: http://edocket.access.gpo.gov/2009/pdf/E9-743.pdf 5010 Final Rule: http://edocket.access.gpo.gov/2009/pdf/E9-740.pdf

    23. CMS HIPAA Standards Page (gap information links): http://www.cms.hhs.gov/ElectronicBillingEDITrans/18_5010D0.asp CMS ICD 10 Fact Sheet: http://cms.hhs.gov/MLNProducts/downloads/ICD-10factsheet2009.pdf X12 Presentation to NCVHS on 5010 changes: http://www.ncvhs.hhs.gov/070730p4.pdf

    24. Questions?

    25. THANK YOU!

    26. Contact Information: Kit Cairns catherine.cairns@deancare.com 608.294.6492 Karen Navarro KNavarro@uwhealth.org 608.662.0817 Claudia Yoakum-Watson CYoakumw@weatrust.com 608-661-6726 Or ccrsconsulting@tds.net 608-289-4974

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