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Contact payer representatives for problem payers.įor problems, contact the ICD-10 Ombudsman at: get more information on how to contact the ICD-10 Ombudsman.Ĭoding and Clinical Documentation Resources.Track denials carefully – learn from mistakes and resubmit claims as soon as possible.
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Double check date of service and use correct code set. Does the code used support the CPT code? While this is nothing new, it is something to be hyper-vigilant about in the beginning.īe aware of referrals and authorizations that used ICD9 codes.
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Use the CMS free look-up tool and ACP's downloadable "Commonly Used ICD-10-CM Codes" list. Use a book or electronic tool to confirm valid vs. Make sure diagnosis is consistent with the procedure (age, gender, provider type, and so on).īe sure the code is valid? For Medicare FFS, it must at least be the right "family" - but for private payers and Medicaid, it needs to be as specific as possible. It's been several days since the implementation of ICD-10, and to ensure a smooth transition to the new coding system, here's a quick checklist of what should be done in this month: ICD-10 Is Here! Make Sure Your Practice is Ready with These Great Resources
The NYACP has plenty of resources and updates on the upcoming ICD-10 implementation, all found on this page.ĩ.15.16 - ICD-10 Toolkit Available to Assess and Maintain Compliance Please note, the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Make sure you're up to speed with our ICD-10 Page! New ICD-10 Clinical Concept Guide Available for Internal Medicine.Latest CMS Announcement and FAQ on ICD-10.New ICD-10 Coding and Clinical Documentation Resources!.WCB Issues Guidance for Complying with ICD-10.Tips to Get Ready for ICD-10: A Timeline.ICD-10 is Here! Make Sure Your Practice is Ready.Important Changes for Paper Claim Submitters.