Update on EGID ICD-10 Implementation
October 1, 2013
Earlier this year, HP Administrative Services, LLC and Employees Group Insurance Division established a timeline for the implementation of ICD-10 Codes by the Oct. 1, 2014, compliance date. Claims for services provided on or after Oct. 1, 2014, must use ICD-10 codes for medical diagnosis and inpatient procedures. CPT codes will continue to be used for outpatient services. Claims with service dates prior to Oct.1, 2014, must use ICD-9 codes.
HP Administrative Services, LLC has adopted an Analyze-Build-Test-Implement approach to implement ICD-10 at EGID. What follows is an implementation update.
With a few exceptions, HP Administrative Services, LLC has completed an end-to-end analysis of the system for ICD-10 impact. HP Administrative Services LLC will next focus on completing an impact analysis for all reports by the end of 2013.
During this phase, HP Administrative Services, LLC will load a test region with the ICD-10 code set and configure it for ICD-10 using the CMS General Equivalency Mapping (GEM) recommendations. This phase is iterative in that updates will be made on a rolling basis to achieve expected testing outcomes.
This phase will include internal testing of configuration changes and local changes as well as end-to-end testing by HP Administrative Services, LLC in the test system. External testing will follow internal testing and include participation by all impacted entities including EGID providers, third parties and vendors.
Preparation for the live implementation of ICD-10 will begin in the middle of the testing phase and will continue through the end of the testing phase. HP Administrative Services, LLC will provide an ICD-10 cutover plan and roll-back procedures for the EGID live implementation closer to the live date. The live implementation is projected for September 2014.
The high-level timeline for the EGID ICD-10 implementation is as follows:
|End-to-End Impact Analysis
|Software Configuration and Remediation
|Third Party Coordination
|Third Party/Physician/EGID Testing
* This is a no-later-than implementation date. If testing is completed on schedule, it is possible this date may be adjusted to an earlier date in September 2014.