Cloud-Based Medical Office Software & Billing Services User Forum ICD-10 How do I know which insurance is ready for ICD-10?

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  • #42217
    Robert Gabriel
    Keymaster

    How can I know which insurance/Payers are ready for ICD-10?

    #42218
    Robert Gabriel
    Keymaster

    Which Payers are ready or want ICD-10?
    The compliance date for implementation of ICD-10 is October 1, 2015, for all Health Insurance Portability and Accountability Act (HIPAA)-covered entities. ICD-10.
    insurance companies who pay for a good deal of those health care services. In particular, it is important that the nation’s largest private payers including UnitedHealthcare (UHC), Aetna, BlueCross BlueShield (BCBS) and Humana, are ready for the transition.

    What is CMS Safe Harbor?
    “safe harbor” providers would still have to submit ICD-10 codes, but they would not be penalized for submission errors for up to one year from October 1st 2015.
    It is not clear that commercial payers will honor the safe harbor period. If commercial payers rejected claims due to ICD10 error it will be a major set back and financial burden on the ICD-10 transition.

    What about Liability Insurance, No-Fault Insurance and Workers?
    See below link from CMS on its newest published alert on the ICD-10 diagnosis code transition. The alert provides good detail on how RREs need to apply the new coding. Remember, the transition to the ICD-10 coding is mandatorily effective with dates of incident on and after 10/1/2015. CMS ICD-10 Alert

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