ICD-10: Issues not known immediately
On Oct. 1, physician practices and hospitals made the switch to ICD-10. Though many may be wondering how the transition is going, it will take at least a few weeks (a full billing cycle) before the Centers for Medicare and Medicaid Services has a full picture because of the way claims are submitted and processed. The federal CMS has promised to monitor the transition in real time, watch their systems and address any issues that are emailed to the ICD-10 Coordination Center, a group of Medicare, Medicaid, billing, coding and information technology systems experts from across the agency. If you do have problems with ICD-10, the agency recommends you:
Please also let the Colorado Medical Society know of any issues you experience by emailing [email protected].
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Clarification on ICD-10 grace period
On July 6, 2015, the federal CMS and the American Medical Association (AMA) jointly announced that CMS will allow for flexibility in the claims auditing and quality reporting processes. In response to questions from the health care community, the agency has released updated "Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities," which provides answers to the most commonly asked questions. CMS reissued the questions and answers in late September with revisions and new questions and answers. Access the document here.
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ICD-10 answers from federal CMS
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Novitas Solutions: Five ways to check your claim status
- Interactive Voice Response (IVR): IVR gives providers access to Medicare claims information through a toll-free telephone number. Visit your Medicare Administrative Contractor (MAC) website for information on the Provider Contact Center and IVR user guide.
- Customer Service Representative (CSR): Visit your MAC website for information on the Provider Contact Center only if you are unable to access claims information via IVR.
- MAC portal: Visit your MAC website for portal features and access.
- Direct Data Entry (DDE): Providers that bill institutional claims are also permitted to submit claims electronically via DDE screens. Visit your MAC website for more information.
- ASC X12: The ASC X12 Health Care Claim Status Request and Response (276/277) is a pair of electronic transactions you can use to request the status of claims (via the 276) and receive a response (via the 277). Visit your MAC website for more information.
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EHR complaint form now available from ONC
The Office of the National Coordinator for Health Information Technology (ONC) has launched an online form through which practices can register complaints about certified EHR products. ONC is looking to identify issues in the following areas:
- ONC health IT certification
- Information blocking
- Health IT safety
- Usability
- Privacy and security
- Clinical quality measures
The agency has indicated that, although it may not be able to address each problem, submitting concerns through this online form will help ONC better understand the types of issues faced by practices, as well as the extent of the problems. Access the form here.
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It's time to preview your 2014 quality measures for Physician Compare
Starting Oct. 5 the Centers for Medicare and Medicaid Services opened the 30-day preview period for the 2014 quality measures that will be reported on Physician Compare later this year. Access the secured measures preview site now through the PQRS portal-Provider Quality Information Portal (PQIP). To learn more about which measures will be publicly reported and how to preview your measures, visit the Physician Compare Initiative webpage. If you have any questions about Physician Compare, public reporting, or the 2014 quality measure preview period, please contact the Physician Compare Support Team at [email protected].
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Telligen presents a webinar on the Meaningful Use final rule - Oct. 21
The recently released Final Rule for Meaningful Use simplifies numerous requirements and adds flexibility for eligible professionals, eligible hospitals and critical access hospitals participating in the EHR Incentive Program for years 2015 through 2017. The Meaningful Use experts at Telligen, Colorado's Quality Improvement Organization, will take a deep dive into these revisions during a webinar and share what changes you need to be aware of as you prepare to attest in 2015 and beyond. The webinar will be held on Wednesday, Oct. 21, 11 a.m. - 12 p.m. MDT. Find more information and register here.
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Take Credit Cards? Is Your Practice Ready for the Oct. 15 EMV Deadline?
Important! What your practice needs to know about switching to EMV: Click here.
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Telligen presents: A Deep Dive into the Final Rule - Modifications to Meaningful Use 2015-2017 Webinar: Oct. 21, 11 a.m. - 12 p.m. Click here for more information.
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Health insurance exchange information
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