HIPAA 5010/ICD-10 Transition Information
Welcome to the KY Medicaid (DMS) 5010/ICD-10 Website. Here you will find information about Kentucky Department for Medicaid Services (DMS) plans for 5010/ICD-10 implementation.
These two transitions will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicaid claims.
Preparing for ICD-10 and Version 5010 - including potential updated software installation, staff training, changes to business operations and workflows, internal and external testing, reprinting of manuals and other materials, and more - will take time.
Start preparing now to ensure a smooth transition.
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About the Version 5010 Transition on January 1, 2012 |
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On January 1, 2012, standards for electronic health care transactions change from Version 4010/4010A1 to Version 5010. These electronic health care transactions include functions like claims, eligibility inquiries, and remittance advices. Unlike the current Version 4010/4010A1, Version 5010 accommodates the ICD-10 codes, and must be in place first before the changeover to ICD-10. The Version 5010 change occurs well before the ICD-10 implementation date to allow adequate Version 5010 testing and implementation time. 4010 transactions will be rejected as of January 1, 2012.
More information regarding HIPAA 5010
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About the ICD-10 Transition on October 1, 2013 |
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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, your claims and other transactions will be rejected, and you will need to resubmit them with the ICD-10 codes. This will impact your reimbursements, so it is important to start preparing for the changeover to ICD-10 codes. This change does not affect CPT coding for outpatient procedures.
More information on the ICD-10 Transition
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