ICD-10-CM is the diagnosis code set that replaced ICD-9-CM Volumes 1 and 2. ICD-10 is used to report diagnoses in all clinical settings. All providers, including physicians, health care clearinghouses, and payers must comply with ICD-10 to meet the Health Insurance Portability and Accountability Act (HIPAA) requirements.
ICD-10 codes went into effect on 10/1/15 for claims with a date of service on or after 10/1/15 and replaced an outdated code set that had been in effect for over 30 years. This update was essential to reflect advances in medicine, medical technology and knowledge. The greater detail available in the ICD-10 code set means that the code can provide more specific information about the patient diagnosis.
While many payers struggled to prepare for ICD-10, APEX EDI successfully tested ICD-10 claims with Medicare, Blue Cross Blue Shield, Medicaid, Worker’s Comp, and other payers. We also participated in numerous ICD-10 webinars and training sessions with providers and industry leaders in billing and paying services.
Apex EDI recognizes the change to ICD-10 as a significant shift for healthcare providers. Many providers have experienced disruptions in transactions being processed and receipt of payments. Physicians have been urged to set up a line of credit to mitigate any interruptions in cash flow.
Our systems were updated early in this change to transmit ICD-10 codes. Contact us today because we have a supportive, friendly staff available to simplify all phases of this change for you. We will answer questions, offer educational resources, test your claim files, and work with channel partners and payers to ensure you receive faster payment in compliance with current codes and regulations.
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