Aetna Adds Software Recommendations To ICD-10 Prep List

Posted on 24 Sep, 2015 |comments_icon 3|By Chris Boucher

Check with EHR vendors for possible training programs.

There has been an abundance of guidance on how Medicare wants providers to prepare for ICD-10, which is set to be the accepted diagnosis coding system on Oct. 1. Most medical offices have been crafting their ICD-10 training on Medicare’s advice.

Don’t forget: Private insurers are also issuing their own advice on handling the transition from ICD-9 to ICD-10. You should check in on some of your private payers, as their policies on the ICD-10 transition might differ slightly from Medicare’s.

Private insurers might also focus on different areas from Medicare when it comes to ICD-10 training recommendations, so you’ll want to give their policies a once-over to round out your practice’s ICD-10 training.

Let’s take a look at Aetna, one of the nation’s largest third-party payers, to see what it had to say about transitioning to ICD-10.

Conduct ICD-10 ‘Overview Training’ For Some Staff

According to Aetna, the amount of ICD-10 training a staffer receives should be commensurate with their involvement in diagnosis coding.

“Clinicians and billing staff should receive documentation training and coding training, respectively, and other staff should have ICD-10 overview training,” Aetna states. The insurer recommends looking into local specialty societies and training vendors that offer specialty specific ICD-10 training. These training sessions can be done online or in person, depending on the program, Aetna reports.

Also, Aetna recommends you get in touch with your electronic health record (EHR) software vendors; many of them are partnering with training vendors to offer ICD-10 training tools.

Ensure That Software Converts ICD-10 To ICD-9

Aetna warns providers that all payers might not be ready for the ICD-10 switch. If this occurs, you’ll have to be able to adjust your diagnosis coding on the fly.

“In cases where a payer is not ready [for ICD-10 on Oct. 1], … you may need to submit a subset of your claims in ICD-9,” Aetna states.

To make sure you are ready for ICD-9 and ICD-10, Aetna recommends that your software vendor make ICD-9 codes available after the transition date.

“But to make the transition easier for your practice, you should be able to operate and code diagnoses in ICD-10, with your vendor converting claims to ICD-9 on your behalf for any payers not accepting ICD-10,” Aetna reports.

Read more advice on ICD-10 prep from Aetna at Medicare also has a robust ICD-10 preparation site:


Chris Boucher

Chris Boucher has nearly 10 years of experience writing various newsletters and other products for The Coding Institute. His blog will cover several areas of coding and compliance, including CPT® coding, modifiers, HIPAA compliance and ICD-10 coding.

More from this author

View More

3 thoughts on “Aetna Adds Software Recommendations To ICD-10 Prep List

  1. I simply wanted to construct a simple remark to be able to appreciate you for those stunning suggestions you are showing at this site. My extensive internet lookup has at the end of the day been paid with high-quality suggestions to talk about with my company. I ‘d say that we visitors are very much endowed to live in a great website with very many perfect professionals with insightful tips. I feel pretty fortunate to have encountered your webpages and look forward to many more entertaining minutes reading here. Thanks again for a lot of things.

  2. I as well as my buddies were found to be digesting the nice points located on your website and the sudden got a horrible feeling I never thanked the website owner for those techniques. All of the young boys came absolutely joyful to learn all of them and have in effect undoubtedly been using them. Many thanks for simply being so thoughtful as well as for obtaining variety of helpful themes millions of individuals are really needing to be informed on. Our own sincere apologies for not saying thanks to sooner.

  3. Thanks a lot for providing individuals with such a wonderful possiblity to read from this website. It’s always very useful and as well , packed with a good time for me and my office fellow workers to search your web site particularly three times per week to find out the newest tips you have got. And definitely, we are certainly astounded with all the perfect techniques you serve. Certain 3 areas in this post are clearly the most efficient we have ever had.

Leave a Reply

Newsletter Signup