ICD-10 Transition: WEDI Issues New Resources

by | Sep 15, 2015

The Workgroup for Electronic Data Interchange (WEDI) has developed two new resources to help groupsput in place the new ICD-10 codes required by the Health Insurance Portability and Accountability Act (HIPAA).

The new resources, ICD-10 State Workers’ Compensation Readiness List and the List of State Medicaid Sites with ICD-10 Information, have been formulated with the aim of “Ensuring that all entities are adopting and or are aligning with ICD-10”. These resources will “help further [the health] industry’s movement towards streamlining and automating end-to-end workflow processes”.

The new ICD-10 codes must be implemented by HIPAA-covered bodies under federal law; but the new codes do not need to be taken on board by the workers’ compensation industry. The industry is now operating with greater alignment with HIPAA Transaction and Code Set rules, but rather than being governed by a national mandate, the industry is instead subject to state laws.

A number of states will be implementing ICD-10 codes, so it is therefore vital that payers, providers and vendors are aware of new state requirements so they can take the required action ahead of the October 1, deadline for using the new codes. States that do not adopt ICD-10 must run dual processing systems to allow for the new codes.

WEDI has written to all state governors requesting information on the current status of their state with regards to the move to ICD-10, and has sought confirmation whether they intend to adhere to the new codes. As new information is submitted, the Workers’ Compensation Readiness List will be updated. WEDI will issue warnings when new information is added. People can sign up to receive these alerts via the WEDI website.

Sherry Wilson, co-chair of the WEDI Property and Casualty Sub-workgroup commented, “It is critical that industry stakeholders are aware of the status of states’ ICD-10 readiness in order to implement the appropriate action plan to comply with both state and federal regulations come October 1, 2015, regardless of whether organizations are HIPAA covered entities”.

Jim Daley, co-chair of WEDI’s ICD-10 Committee and director of IT for BlueCross BlueShield of South Carolina, recently stated the ICD-10 State Workers’ Compensation Readiness List is “A great resource to see the status of where your state is in terms of ICD-10 adoption for workers’ comp.” The list details the states that will be implementing the new ICD-10 codes, and which ones will not be doing so.

The List of State Medicaid Sites with ICD-10 Information is intended to serve as a guidance document for HIPAA-covered bodies to use during the transition from ICD-9 to ICD-10 codes.

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Patrick Kennedy is a highly accomplished journalist and editor with nearly two decades of experience in the field. With expertise in writing and editing content, Patrick has made significant contributions to various publications and organizations. Over the course of his career, Patrick has successfully managed teams of writers, overseeing the production of high-quality content and ensuring its adherence to professional standards. His exceptional leadership skills, combined with his deep understanding of journalistic principles, have allowed him to create cohesive and engaging narratives that resonate with readers. A notable area of specialization for Patrick lies in compliance, particularly in relation to HIPAA (Health Insurance Portability and Accountability Act). He has authored numerous articles delving into the complexities of compliance and its implications for various industries. Patrick's comprehensive understanding of HIPAA regulations has positioned him as a go-to expert, sought after for his insights and expertise in this field. Patrick's bachelors degree is from the University of Limerick and his master's degree in journalism is from Dublin City University. You can contact Patrick through his LinkedIn profile:

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