Full Encounter Data ICD-10

These files show timelines for ICD-10 and 5010 Compliance by type of provider/entity

ICD10 and 5010 Compliance Timelines

This presentation and Encounter Data Participant Guide are from the CMS health plan training sessions that took place over the summer. We do not believe the slides have been updated, and cannot know for certain at this time if CMS plans to enforce the timeliness criteria listed in the presentation. We will update you as new information becomes available.

Encounter Data Slide Presentations
Encounter Data Participant Guide


Watch this page for up-to-date information from SCAN and CMS regarding the implementation of full encounter data submission, ANSI 837 5010 transaction, and ICD-10.

Full Encounter Data Submission

Industry Update Summary Report April 7, 2011
Full Encounter Data Q&As
Encounter Data Industry Update January 19, 2011
CMS National Meeting Encounter Data Presentations
Basics FactSheet
EDI Reference Card
Provider Action Checklist


SCAN Full Encounter Data Updates

SCAN Full Encounter Data Provider Kick-off
SCAN CMS Full Encounter Data Webinar
Full Encounter Data FAQs.


CMS Encounter Data Work-Groups
These documents are from the series of CMS industry work-groups related to Full Encounter Data. CMS participation in the workgroups has been limited, and few firm decisions have been made.

Capitated and Staff Model Plans Summary Notes
Chart Review Work Group #1
Chart Review Work Group #2
Chart Reviews and Data Submission for Chart Audits
Encounter Data Newsletter - Quarter 1
Encounter Data Newsletter - Quarter 2
Encounter Data Newsletter - Quarter 3
Encounter Data Newsletter - Quarter 4
Encounter Data Work Group Summary Notes for Editing and Reporting: Key Findings and Recommendations #1
Encounter Data Work Group Summary Notes for Editing and Reporting: Key Findings and Recommendations #2
Third Party Submitters Work Group #1
Third Party Submitters Work Group #2


ICD-10 Implementation
Under HIPAA, On October 1, 2013, all providers will be required to use ICD-10-CM diagnosis codes on all claims and encounters. Watch this page for updated information on ICD-10 implementation.

GEMs Crosswalks Basic FAQ
GEMs Crosswalks Technical FAQ
Implementation Info
CM PCS for Physician Spec Group Rep Presentation
GEMs Fact Sheet
Intro Fact Sheet
Medical Practices Basics
Myths & Facts
Overview



CMS ICD-10 Implementation Conference Calls

2011 ICD 10 Conference Calls
2010 ICD 10 Conference Calls
2009 ICD 10 Conference Calls
2008 ICD 10 Conference Calls