Tip: Prepare for ICD-10 testing by assessing payers
APCs Insider, October 24, 2014
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
In order to prepare testing for ICD-10 implementation, facilities should assess the readiness of their payers. Start by identifying the top payers, then create a list of those with the largest number of denials in order to prioritize. Ask when their ICD-10 testing will be available.
Collaboration between hospitals and payers is important because health plans cannot precisely forecast how providers will code claims, and providers cannot predict how payers will process and reimburse claims.
As a result of the ICD-10 delay, CMS has announced several additional rounds of testing. Providers, suppliers, billing companies, and clearinghouses are able to submit acknowledgement test claims at any time up to October 1, 2015. Test claims will not be adjudicated, but MACs will confirm whether they accepted or rejected submitted claims.
CMS will highlight the testing in November 2014, March 2015, and June 2015 with scheduled acknowledgment testing weeks. MACs and DME MAC Common Electronic Data Interchange contractors will have staff ready to handle increased call volume during those weeks to help providers.
This tip is adapted from “Collaboration with physicians and payers key to ICD-10-CM readiness” in the October issue of Briefings on APCs.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
Most Popular
- Articles
-
- Math can be tricky: TJC corrects ABHR storage requirement
- Air control equals infection control
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Five ways to safeguard your patients' valuables
- The consequences of an incomplete medical record
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- Skills of effective case managers
- Practice the six rights of medication administration
- E-mailed
-
- Air control equals infection control
- OSHA HazCom updates include labeling, SDS requirements
- Plan of Care Supports Documentation of Homebound Status
- Note similarities and differences between HCPCS, CPT® codes
- Note from the instructor: CMS clarifies billing guidelines on proper billing for drugs in a single-dose or single-use vial, including billing for discarded drugs
- Neurological checks for head injuries
- Modifiers and medical necessity
- Follow these tips to properly report bladder catheter codes
- Five ways to safeguard your patients' valuables
- Differentiate between types of wound debridement
- Searched