Tuesday, November 10, 2015

ICD-10 Updates

Dianne De La Mare
  • CMS Reports ICD-10 Transition is Smooth: CMS has been monitoring the transition to ICD-10 and is reporting that claims are reporting normally. CMS states that “Generally speaking, Medicare claims take several days to be processed and, once processed, Medicare must – by law – wait two weeks before issuing a payment. Medicaid claims can take up to 30 days to be submitted and process by states.” For these reasons, CMS believes it will have more information later in November.
  • CMS Issues a New Document to Assist Providers Answer ICD-10 Questions: CMS has just issued a new resource guide and contact list to help health care providers with the ICD-10 transition. The document provides Medicare and Medicaid contacts for anticipated questions.
  • CMS Updates Medicare Fee-For-Service (FFS) FAQs: CMS has recently updated its Medicare FFS FAQs.
  • CMS Videos on ICD-10 Coding Available: CMS MLN Connects video are available on ICD-10 Coding Basics. Learn about the characteristics and unique features of ICD-10, as well as similarities and differences between ICD-9 and ICD-10.
  • CMS Offers 5 Ways to Check Your Claim Status: CMS outlines 5 ways that providers can check their claim status: 1) Use the Interactive Voice Response (IVR) through a toll-free number; 2) visit the MAC website for information on the Provider Contract Center; 3) visit the MAC website for portal features and access; 4) visit the MAC website for more information on Direct Data Entry (DDE) (which is available for providers to bill institutional claims; and 5) use the ASC X12 Health Care Claim Status Request and Response to request the status of claims.  
  • CMS ICD-10 Ombudsman and Coordination Center: CMS’ ICD-10 Coordination Center supports the ICD-10 Ombudsman and is the center of CMS communications related to ICD-10 implementation. The Center will identify and assign ICD-10 issues for resolution, and coordinate with the external community. The Center also is responsible for coordinating post-implementation operations with a focus on delivering a high-quality experience for internal and external stakeholders, and is open Monday-Friday from 8 am to 6:30 PM Eastern time.

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