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ICD-10 UPDATE 2 John Mandujano, PMP CPHIMS September 2, 2015

End-To-End Testing WellCare’s Challenge A Variety of Healthcare Providers Mixed Results 3

Testing With WellCare Unfortunately, because we are at our capacity in terms of testing partners, our clearing house is no longer accepting test ICD-10 claims and adding additional test partners jeopardizes our preparedness for the October 1 st implementation, we cannot consider testing with any additional providers. We do not anticipate opening up ICD-10 testing beyond what has already been planned. 4

WellCare’s Internal Training External vendor conducted an ICD-10 Boot Camp (20-hour online workshop) for new Coders coming onboard. Corporate coders who have completed assessments and boot camp are taking more in-depth courses including 26 hours of CM training and 32 hours PCS training. WellCare Associates are taking a 7-hour online training w ebinar. 1-day onsite workshop for all Corporate Coders. 5

WellCare’s ICD-10 Readiness WellCare will be compliant with the Center for Medicare & Medicaid Services (CMS) rule for ICD-10 readiness beginning Oct. 1, WellCare's systems will align with guidelines from CMS and support the following: Claims for all services and hospital inpatient procedures performed on or after the compliance deadline must use ICD-10 diagnosis and inpatient procedure codes. WellCare is aligning itself with CMS guidelines and practices for ICD-10 compliance. 6

Don’t Forget Use the correct Code List Qualifier Code for each diagnosis code, e.g. BK for ICD-9 and ABK for ICD-10. When it is appropriate, include an ICD-10 code describing the external cause of morbidity. Order the ICD-10 codes in order of significance. 7