In preparation for the October 1, 2014 ICD-10 Implementation, DSM is preparing to share the most up to date information provided by CMS to help promote provider readiness. In the months ahead, our team will highlight information specifically targeting issues requiring provider action or changes in billing practices.
The Medical Records Abstract will allow providers to enter both ICD-9 and ICD-10 codes for the purpose of split claims that span the implementation date.
Please access the link below for split claims billing instructions for Medicare Fee-For-Service (FFS) claims that span the ICD-10 Implementation Date (sample UBs provided by CMS).
CMS MLN SE1325-2-ICD-10
For further updates, please visit this site regularly as we move closer to the big date! We appreciate your business!
DSM is working this week to make the necessary changes to your system to send claims to Novitas beginning next Monday August 20. An update will be going out this evening with software changes to accommodate the difference in Novitas’ transmission system. Once the update is installed we will make configuration changes to your system with the new submitter id, user id, and password that were assigned to your facility by Novitas. All of this will be completed by the end of the day tomorrow. According to the Novitas bulletin at the link below you should stop sending claims to Pinnacle at 1:00 PM on August 16 (Box 1 on the second page). Starting at 2:00 pm on August 16 we will begin making the final changes to your system to send claims to Novitas and will have your system ready to begin sending claims by the end of that day. However, according to the link below, you should hold ALL Medicare Part A claims until after 5:00 pm Friday August 17 (Box 1 on the second page).
– This change will only affect Medicare Part A claims. The Part B claims will transition in October so you can continue to file them.
– You should STOP sending Medicare Part A claims at 1:00 pm on August 16.
– Do NOT begin sending Medicare Part A claims again until after 5:00 pm August 17.
The Enforcement Deadline for the 5010 Transition will soon be here. We may continue to see a few issues linger as our MAC’s perform “scheduled fixes” potentially causing unintended edits to fire. To stay up to date on these potential issues over the next few months, you may review the System Status Log for current Part A system issues.
AR/LA/MS Providers: Be on the look out for correspondence from our new MAC. In addition to a new EFT Authorization Form, providers should receive letters assigning new passwords to existing submitter IDs. These letters include dated material and failing to act by the deadlines will result in payment interruptions. Please fax EDI correspondence to Ursula Mercer at 601-925-2223.
For details about the J-H Implementation, click on “FAQS“.