“While we expect most providers to be ready by October 1, many have pushed conversion to ICD-10 right up to the deadline,” Bonnie Sunday, MD, chair of HIMSS ICD-10 Task Force, said in a statement prior to the deadline. “The guide will guide them to quick and practical solutions if problems occur.”
Considering that claims made to CMS using ICD-9 codes will no longer be reimbursed, the HIMSS ICD-10 Task Force created the interactive tool to guide providers through three possible scenarios:
• Processing ICD-10 claims
• Handling ICD-10 claims that are sent to payers, but reimbursement hasn’t been received
• Processing claims filed by payers with mistmatched reimbursement amounts
After selecting a scenario, the interactive guide walks the provider through short and long term solution options, including links to relevant resources. For those that already have ICD-10 systems in place, there is a walkthrough for troubleshooting incorrect reimbursement or rejected claims.
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