Watch this page for up-to-date information from SCAN and CMS regarding the implementation of full encounter data submission, ANSI 837 5010 transactions, and ICD-10.
CMS Regional Training Materials
These final materials were distributed after the August 7, 2012 CMS Regional Training. They focus on Full Encounter Data (FED) submission, and include a Participant Guide as well as job aids and a Technical Assistance Boot Camp Workbook for calculating Part C payment.
2012 CMS Regional Training
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
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
EDI Reference Card
Provider Action Checklist
Current Companion Guides
These are the most recent CMS Companion Guides for Full Encounter Data Submission. In addition to detailed information on submission of 837 encounters, each guide contains a table of edits—both informational and reject.
March 2013 Release EDCompanionGuide 837I
March 2013 Release EDCompanionGuide 837P
March 2013 Release EDCompanionGuide 837P DME
December Release EDCompanionGuide 837I
December Release EDCompanionGuide 837P
December Release EDCompanionGuide 837P DME
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
Below is the full text of the 2013 ICD-10 Code books, including updated guidelines.
ICD-10-CM Official Guidelines for Coding and Reporting 2013
Duplicate ICD-10-CM Codes
ICD-10-CM Index to Diseases and Injuries
ICD-10-CM Table of Drugs and Chemicals
ICD-10-CM Table of Neoplasms
ICD-10-CM Tabular List of Diseases and Injuries
Under HIPAA, On October 1, 2014, 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.
2013 GEMs Diagnosis File
GEMs Crosswalks Basic FAQ
GEMs Crosswalks Technical FAQ
CM PCS for Physician Spec Group Rep Presentation
GEMs Fact Sheet
Intro Fact Sheet
Medical Practices Basics
Myths & Facts
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