Pharmacy Network Services ICD-10 Frequently Asked Questions
Published Q2 2014
Preface This information is provided by Emdeon for education and awareness use only. Even though Emdeon believes that all the information in this document is correct as of the date of the publication of this version, Emdeon does not warrant the accuracy, completeness, or fitness for any particular purpose of this information. All use is at the reader’s own risk. The information provided here is for reference use only and does not constitute the rendering of legal, financial, or other professional advice or recommendations by Emdeon. © 2013, 2014 Emdeon Business Services LLC, 3055 Lebanon Pike Suite 1000, Nashville, TN 37214. All Rights Reserved. Printed in the USA.
Contents Readiness & Planning ..................................................................................... 4 Pharmacy Edits .............................................................................................. 4 Customer Testing ........................................................................................... 4 Customer Impact ........................................................................................... 5
Readiness & Planning Q: When will Emdeon’s Edit, Connect and Clinical Exchange eRxNetwork pharmacy solutions be ready for the ICD-10 conversion?
A: NCPDP’s standards are already in place and technically allow the use of ICD-10 codes today. Emdeon’s Edit, Connect and Clinical Exchange eRxNetwork solutions accommodate the syntax and structure required to support ICD-10 data content.
Pharmacy Edits Q: Will Emdeon no longer support ICD-9 codes after the compliance date? A: Emdeon’s Connect, Edit and Clinical Exchange eRxNetwork products are not anticipating providing any date-driven edits before or after the compliance date, so ICD-9 codes will not be rejected. We remain neutral and will continue to support both ICD-9 and ICD-10 after the compliance date.
Emdeon can technically accept ICD-10 codes now given that the fields designed to accept the ICD-10 qualifiers and codes are part of the current NCPDP Script and Telecommunications transaction standards. We can discuss with customers any editing requirements that they may have regarding the use of ICD-10.
Customer Testing Q: How and when can I test with Emdeon Edit, Connect, and Clinical Exchange eRxNetwork?
A: The current HIPAA-approved transaction standards (NCPDP D.0 and Script) technically allow for ICD-10 qualifiers and codes. No testing is required with Emdeon for these products.
Customer Impact Q: Will a mapping or crosswalk strategy be used between ICD-9 and ICD-10 code sets? A: At this time Emdeon does not intend to implement a crosswalk between ICD-9 and ICD-10 codes.
Q: Are there any new hardware requirements associated with ICD-10-related software changes?
A: There are no additional hardware requirements for Emdeon Edit, Connect, and Clinical Exchange eRxNetwork based upon the industry transition to ICD-10.
Q: What are the costs involved? Will modifications and upgrades be covered by existing contracts?
A: No modifications or upgrades to Emdeon software are required. Emdeon will not assess any related additional charges for supporting ICD-10 codes.
Q: Will customer support and training be provided for any new ICD-10-related functionality, and is there a charge?
A: Emdeon pharmacy plans to have customer support in place for ICD-10 questions relating to Emdeon’s products with no additional related charges.
Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers, and patients in the U.S. Healthcare system. Emdeon’s product and service offerings integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter. Through the use of Emdeon’s comprehensive suite of products and services, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes. For more information, visit www.emdeon.com.
© 2013, 2014 Emdeon Business Services LLC. All rights reserved.
3055 Lebanon Pike, Suite 1000 Nashville, TN 37214-2230 877.EMDEON.6 (877.363.3666) www.emdeon.com
