Industry Weighs in on Their Experiences with ICD-10
Organizations from across the industry weigh in on their experiences with ICD-10 in the weeks following the October 1st implementation date. Hear their ICD-10 transition stories.
Read MoreCoalition For ICD-10
Coalition Members Report on ICD-10 Implementation
Members of the Coalition for ICD-10 weigh in on their experiences with ICD-10 in the weeks following the October 1st implementation date
Options for submitting ICD-10 claims electronically on Oct 1
If a provider is unable to submit ICD-10 claims electronically on Oct 1, there are a number of available claim submission options. Health plans have active outreach programs and are working with their respective provider communities to address issues and concerns.
Why Non-Covered Entities Must Adopt ICD-10
The switch to ICD-10 is mandatory for organizations covered by the HHIPAA, known as “HIPAA-covered entities.” Organizations not covered by the HIPAA, or “non-covered entities,” are not required to transition to ICD-10, but are strongly encouraged to do so. Non-covered entities include property and casualty insurance carriers, including auto insurers and workers’ compensation plans.
Analyzing the Impact of the “Code-FLEX Act of 2015”
The “Coding Flexibility in Healthcare Act of 2015’’ or the ‘‘Code-FLEX Act of 2015’’ was recently introduced in Congress. The Code-FLEX Act requires that Medicare allow claims to be submitted in either ICD-10 or ICD-9 for the 180 days following the implementation of ICD-10.
Safe Harbor: Unnecessary with Dangerous Consequences
Multiple bills have been introduced in Congress that create a “safe harbor” for physicians by prohibiting claims from being denied “due solely to the use of an unspecified or inaccurate [ICD-10] subcode” (H.R.2247) or “for errors, mistakes or malfunctions” relating to submissions of ICD-10 codes (H.R. 2652).
After Two Decades, A Few Simple Questions
The healthcare industry has endured more than 20 years of research, hearings, testimony, proposed rules, comment periods, final rules, and three ICD-10 delays. Nearly $30 billion in costs have been incurred to plan, train, convert systems, test, and prepare for ICD-10.
Coalition for ICD-10 Comments on CMS April End-to-End Testing
The Coalition for ICD-10 congratulates CMS on the success of its April end-to-end testing, which demonstrated that CMS systems are ready to accept ICD-10 claims.
The Upside to ICD-10: Defense Against Audits
US Congressional offices informed the ICD-10 Coalition that physicians have been calling in concerned that the increased specificity in the ICD-10-CM codes will lead to an increase in recovery audit contractor (RAC) audits.