Healthcare Performance Benchmarks
Healthcare Performance Benchmarks
February 22, 2012Vol. II. No. 8

How BCBS Michigan Maps ICD-10 Codes

How BCBS Michigan Maps ICD-10 Codes This Week's Challenge: A three-step process for resolving discrepancies between ICD-9 and ICD-10 codes has allowed Blue Cross Blue Shield of Michigan (BCBS-M) to complete its version of the General Equivalence Mappings (GEMs) and move closer toward ICD-10 compliance readiness. We wanted to see how BCBS-M maps ICD-10 codes.

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What We Learned:"Itís one thing to actually incorporate the field length into your environment, but something totally different to say, ĎHow are you going to use those ICD codes in your environment?í How you use them truly makes a difference. You have to find every place within your applications that you are specifically referencing ICD codes and you have to remediate those areas. But its not just knowing where, you need to understand how those codes are associated with one another and thatís where mapping comes in. Within the four walls of BCBS-M, we use our codes differently based on the type of claim."

— Dennis Winkler

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Read related blog post: Timeline to ICD-10 — BCBS Michigan Approach is Business-Driven

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Mapping the Way to ICD-10 Readiness: Blue Cross Blue Shield of Michigan's Approach

Excerpted from Mapping the Way to ICD-10 Readiness: Blue Cross Blue Shield of Michigan's Approach, a 45-minute webinar, during which Winkler shared BCBS-Mís mapping strategy for ICD-9 to ICD-10 code sets, along with other organizational readiness tactics for ICD-10. He also addressed: BCBS-Mís six dimensions of neutrality and how the BCBS-M plan incorporates these aspects into ICD-10 readiness; ICD-10 systems testing and training; and much more.

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