SUBSCRIBE TO CRITERIONS ALERTS WITH YOUR EMAIL ADDRESS

SUBSCRIBE TO CRITERIONS ALERTS WITH YOUR EMAIL ADDRESS

Monday, October 5, 2015

ARE YOU MAKING THE MISTAKE OF SENDING POST-OCT 1 SERVICES WITH ICD-9 DIAGNOSIS CODES?

Some clients are still using ICD-9 diagnosis codes while creating claims for October services… this is a big mistake! All service claims submitted to a carrier must contain ICD-10 diagnosis codes.

The primary cause for this mistake should be most noticeable to the user while creating/generating services for October services… that is, the user will only see ICD-9 codes to select from because that patient’s insurance carrier does not have the option to “Use ICD10 Code” selected in the Insurance Carrier setup screen. When this option is not selected, the user does not see the available ICD-10 diagnosis codes while writing/generating a service claim and the services will not upload to an electronic claim file with the desired ICD-10 diagnosis codes – causing undesired rejections by the carrier.

All insurance carriers in the Insurance Carrier setup screen should have the option to “Use ICD10 Code” selected… and the Insurance Carrier setup screen offers an option that allows for a bulk selection of the “Use ICD10 Code” option all carriers. If, for some reason, you find it necessary to use ICD-9 diagnosis codes for services performed in October with a specific insurance carrier, the mentioned option can be unselected for that carrier.

We will soon add a warning while creating an electronic claim file that will alert the user of existing post-October 1 service claims containing ICD-9 diagnosis coding.