General Information and Benefits of ICD-10
International Classification of Disease (ICD) is a standard set of diagnosis and procedure codes used to:
The federal government mandated implementation of the new ICD-10 code set for services provided on and after October 1, 2015. ICD-10 offers additional specificity to the current ICD-9 claims reporting process. The increased granularity of choices will help providers define what and why services were rendered.
The new ICD-10 system will more accurately reflect technology and medical treatment, improving your ability to:
ICD-10 will provide more detail to understand each patient's particular needs and illustrate patient trends to progress towards set health care goals. It will also help to advance research, measure quality outcomes, as well as demonstrate value of care in a way that is not possible with ICD-9.
The following table provides the differences between ICD-9 and ICD-10 coding:
Wellmark’s Plans for ICD-10 Regulatory Conversion
Wellmark has assessed its systems, business processes, policies, and communication needs associated with the impacts of the ICD-10 conversion. Beginning in 2012, Wellmark updated all systems and processes to accept and utilize ICD-10 codes in order to remain compliant.
Wellmark will be ready to test electronic submission for ICD-10 claims. We encourage all providers to take advantage of this opportunity to ensure proper claim submission and processing after Oct. 1, 2015. Information regarding testing will be forthcoming.
ICD-10 Education and Training Resources
The upgrade to ICD-10 affects every provider, so education and training is very important for your staff. Of course bookkeeping and business personnel will need training, but your accounting system software and hardware may also need upgrading to achieve a seamless switchover.
Each organization has its own needs. For example, coders will need to train for diagnosis changes and should access free resources, such as those offered through the CMS website.
Any business process or technology that stores, processes, or utilizes medical/diagnosis/procedure codes is affected on some level. Get Started Today!
Small-Medium Physician Practices: Build an action plan and start transition to ICD-10. Find out how by visiting the CMS website.
Large Physician Practices and Hospitals: Transition to ICD-10 now with the help of CMS' ICD-10 Implementation Guides.
Additional resources are available on the following sites: