Cms-10381

September 26, 2012

Crosswalk: Revisions to ICD-10 Industry Readiness Assessment

Readiness Assessment to be fielded before October 1, 2014, compliance deadline (Appendix D-1)

Original Text/Question	Revised Text/Question	Rationale
About the ICD-10 Transition on October 1, 2013 ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2013. Otherwise, provider claims and other transactions may be rejected, and providers will need to resubmit them with the ICD-10 codes. This could result in delays and may impact reimbursements, so it is important to prepare now for the changeover to ICD-10 codes. This change does not affect CPT coding for outpatient procedures.	About the ICD-10 Transition on October 1, 2014 ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2014. Otherwise, provider claims and other transactions may be rejected. This could result in delays and may impact reimbursements, so it is important to prepare now for the changeover to ICD-10 codes. This change does not affect CPT coding for outpatient procedures.	“October 1, 2013” changed to “October 1, 2014” in heading and in first sentence of explanatory text to reflect publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014. Phrase “and providers will need to resubmit them with the ICD-10 codes” has been deleted because it implies that rejected claims/transactions will be reimbursed if providers use ICD-10 codes, whereas in fact providers may need to make other adjustments to rejected claims before they are reimbursed.
Did you know about the October 1, 2013, deadline for the ICD-10 transition?	Did you know about the October 1, 2014, deadline for the ICD-10 transition?	“October 1, 2013” changed to “October 1, 2014” to reflect publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014
Conduct impact analysis (e.g., identify potential changes to work flow)	Conduct impact analysis (e.g., identify everywhere you use ICD codes for potential changes to work flow)	Added language indicated with highlighting to improve clarity of question and validity of responses
Begin external testing  (e.g., between providers, payers, clearinghouses)	Begin external testing  (e.g., between providers, payers, billing services, clearinghouses)	Added language indicated with highlighting to improve clarity of question and validity of responses
Complete external testing	Complete external testing (i.e., complete testing of processes from beginning to end, including claims and other inbound and outbound transactions)	Added language indicated with highlighting to improve clarity of question and validity of responses
Response options for questions about timing of activities: Completed before Jan 2013 Jan – Mar 2013 Apr – Jun 2013 Jul – Sept 2013 Oct – Dec 2013 Jan – Mar 2014 Apr 2014 or later Not planning for this activity Don’t know	Response options for questions about timing of activities: Completed before Jan 2013 Jan – Mar 2013 Apr – Jun 2013 Jul – Sept 2013 Oct – Dec 2013 Jan – Mar 2014 Apr – Jun 2014 Jul – Sept 2014 Oct 1, 2014 Not planning for this activity Don’t know	Added response options to correspond to new timing effected by publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014
Do you think your organization will be ICD-10 compliant by the October 1, 2013, deadline? Yes [Terminate survey] No When do you think your organization will be ICD-10 compliant? [please specify month and year] Not sure	Do you think your organization will be ICD-10 compliant by the October 1, 2014, deadline? Yes [Terminate survey] No Not sure	“October 1, 2013” changed to “October 1, 2014” to reflect publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014 Question asking when respondents who will not be compliant by the deadline expect to be compliant has been deleted to avoid creating any potential misperceptions among respondents that HHS will extend the compliance deadline set forth in the final rule published September 5, 2012.
What are the obstacles and challenges to reaching compliance by October 1, 2013?	What are the obstacles and challenges to reaching compliance by October 1, 2014?	“October 1, 2013” changed to “October 1, 2014” to reflect publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014

Readiness Assessment to be fielded after October 1, 2014, compliance deadline (Appendix D-2)

Original Text/Question	Revised Text/Question	Rationale
About the ICD-10 Transition on October 1, 2013 ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service and inpatient claims with dates of discharge on and after October 1, 2013. Otherwise, provider claims and other transactions may be rejected, and providers will need to resubmit them with the ICD-10 codes. This could result in delays and may impact reimbursements, so it is important to prepare now for the changeover to ICD-10 codes. This change does not affect CPT coding for outpatient procedures.	About the ICD-10 Transition on October 1, 2014 ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service and inpatient claims with dates of discharge on and after October 1, 2014. This change does not affect CPT coding for outpatient procedures.	“October 1, 2013” changed to “October 1, 2014” in heading and in first sentence of explanatory text to reflect publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014. Paragraph about importance of preparing for transition deleted because this information will not be relevant for a survey designed to be fielded after the compliance deadline.
Was your organization ICD-10 compliant by the October 1, 2013, deadline? Yes [Terminate survey] No Not sure	Was your organization ICD-10 compliant by the October 1, 2014, deadline? Yes [Terminate survey] No Not sure	“October 1, 2013” changed to “October 1, 2014” to reflect publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014
Conduct impact analysis (e.g., identify potential changes to work flow)	Conduct impact analysis (e.g., identify everywhere you use ICD codes for potential changes to work flow)	Added language indicated with highlighting to improve clarity of question and validity of responses
Begin external testing  (e.g., between providers, payers, clearinghouses)	Begin external testing  (e.g., between providers, payers, billing services, clearinghouses)	Added language indicated with highlighting to improve clarity of question and validity of responses
Complete external testing	Complete external testing (i.e., complete testing of processes from beginning to end, including claims and other inbound and outbound transactions)	Added language indicated with highlighting to improve clarity of question and validity of responses
Response options for questions about timing of activities: Completed before Jan 2013 Jan – Mar 2013 Apr – Jun 2013 Jul – Sept 2013 Oct – Dec 2013 Jan – Mar 2014 Apr 2014 or later Not planning for this activity Don’t know	Response options for questions about timing of activities: Completed before Nov 2014 Nov 2014 Dec 2014 Jan 2015 Feb 2015 Mar 2015 Apr 2015 or later Not planning for this activity Don’t know	Revised response options to correspond to new timing effected by publication of final rule changing the ICD-10 compliance deadline from October 1, 2013, to October 1, 2014

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