March 24, 2014 – For those providers who are still appointment their Medicare claims on paper, there’s one ICD-10 change that is advancing a lot eventually than October 1, 2014. Paper-based providers are reminded that alone the adapted CMS 1500 anatomy will be accustomed for all claims accustomed on or afterwards April 1, 2014. The new forms were appear in the summer of 2013 and accommodate ICD-10-friendly changes to advice adapt billers and coders for the new standards.
While the new Version 02/12 forms accept been adequate back January, providers and suppliers who accommodated exceptions to the cyberbanking advertisement affirmation beneath the Administrative Simplification Compliance Act (ASCA) will no best accept a best about which paperwork to use. The Version 02/12 anatomy replaces the old Version 08/05 form, which did not accommodate any accoutrement for the adapted cipher set.
“The revised anatomy has a cardinal of changes,” explains a CMS MLN Matter account on the subject. “Those best notable for Medicare are new indicators to differentiate amid ICD-9 and ICD-10 codes on a claim, and qualifiers to analyze whether assertive providers are actuality articular as accepting performed an ordering, referring, or authoritative role in the capacity of the service. In addition, the revised anatomy uses letters, instead of numbers, as analysis cipher pointers, and expands the cardinal of accessible analysis codes on a affirmation to 12.”
The National Uniform Affirmation Committee (NUCC), which provides alternate updates of all-important claims paperwork, has developed abundant instructions for the use of the new form, including sample affidavit and the specific advice appropriate for anniversary acreage in adjustment to advice coders and billers accept the changes so claims can be candy quickly.
Providers are reminded, however, that ICD-10 codes on their own will not be accustomed for claims anachronous afore October 1, 2014, alike admitting there is allowance for them on the form. Providers who use the new 1500 anatomy charge use ICD-9 codes for casework performed afore the accomplishing date, and charge use alone ICD-10 codes for casework occurring afterwards the allowable deadline.
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