CMS: Learn How Clearinghouses Can Provide ICD-10 Transition Assistance

CMS released information to clarify the role of clearinghouses in assisting the transition to ICD-10.

Advertisement

Clearinghouses should not be expected to provide the same level of support for ICD-10 as they did for the HIPAA Version 5010 upgrade because the new code set is based on clinical documentation and provider information. Only clearinghouses that offer coding services will be able to tell providers which ICD-10 codes to use.

Clearinghouses can help with identifying claim problems and reasons for rejection, as well as provide guidance on fixing rejected claims. These services can be a helpful too for testing ICD-10 claims processing.

More Articles on Finance:
9 Recent Issues Between Hospital and Payors
Despite Increased Ownership, Glenview Capital Doesn’t Intend to Acquire HMA
For-Profit Hospital Stock Report: Week of May 20-24, 2013

Advertisement

Next Up in Financial Management

  • Healthcare leaders are often expected to compartmentalize emotion to make difficult decisions, drive results, and maintain operational focus. For many years, I led…

  • Chicago-based CommonSpirit recorded an operating income of $2 million (0% operating margin) in the second quarter of fiscal 2026, down…

  • Amy Assenmacher, RN, senior vice president of revenue cycle at Grand Rapids, Mich.-based Corewell Health, is confident that healthcare is…

Advertisement

Comments are closed.