2015 pal update

Humana Offers Practitioners a Platform to Test ICD-10 Readiness

As part of the ICD-10 transition, Humana is working with practitioners to assess and assist in ICD-10 readiness.

All entities covered by the Health Insurance Portability and Accountability Act (HIPAA) must be able to successfully conduct health care transactions using ICD-10 diagnosis and inpatient procedure codes by the ICD-10 implementation date. The implementation date currently proposed by the Centers for Medicare & Medicaid Services (CMS) is Oct. 1, 2015. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after the implementation date.

Humana Professional Provider Content-based Testing is an outpatient scenario-based testing site to support ICD-10 readiness and apply practical applications of the code set. Practitioners can access customized outpatient scenarios (based on practitioner type and specialty) with narratives relevant to their practices.

Each medical scenario will present a unique combination of three narratives in a format that allows testers to enter ICD-10 diagnosis codes and submit them for feedback. Practitioners will receive peer reports along with coding feedback on the primary and secondary ICD-10 codes submitted.

Sid Hebert, director of Humana’s ICD-10 implementation team, says that this testing approach allows for interested physicians to evaluate their coding proficiency with real world examples, keyed to specialties, through a dynamic interchange.

To register for Humana Professional Provider Content-based Testing, practitioners can go to http://hureg.providercodingimpact.com.

The website will register testers from the practitioner’s organization, who will be sent an email with a link to begin their test activity, along with a desktop procedure manual. Once registered, Humana asks that practitioners complete this activity within 30 days.

Practitioners who have questions about the registration process or other concerns regarding Humana Professional Provider Content-based Testing may contact Humana at OutpatientTesting@Humana.com.

More about ICD-10

ICD-10 stands for the International Classification of Diseases, 10th Edition. ICD is the international standard for diagnostic classifications. The current version, ICD-9, was adopted in 1979. For more information on ICD-10, go to https://www.humana.com/provider/support/claims/icd-10.

ICD-10 questions may be submitted to one of the following Humana mailboxes:

Claim delegates: IPAICD10Inquiries@humana.com