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ICD-10 Implementation

Keep Up to Date on ICD-10

Please visit the ICD-10 website for the latest news and resources to help you prepare as well as Medicare Fee-for-Service Provider Resources ICD-10.

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ICD-10 Claims Submission Alternatives

For FROM dates of service (on professional and supplier claims)  or dates of discharge/through dates (on institutional claims) on or after October 1, 2015, entities covered under the Health Insurance Portability and Accountability Act (HIPAA) are required to use the International Classification of Diseases, 10th Edition (ICD-10) code sets adopted under HIPAA.

If you will not be able to complete the necessary systems changes to submit claims with ICD-10 codes by October 1, 2015, or find that you are unable to submit claims on or after October 1, 2015, due to issues with your billing software, vendor or clearinghouse, claims submission alternatives are available.

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Accelerated/Advance Payment

A provider may request an accelerated/advance payment where delays in payments by an A/B MAC for covered services rendered to beneficiaries have caused financial difficulties for the provider. An accelerated/advance payment may also be made in highly exceptional situations where a provider has incurred a temporary delay in its bill processing beyond the provider’s normal billing cycle.

When making a request, please ensure the following are attached:

Additional Information
CMS Paper-Based Manuals, Publication 15-1, Medicare Provider Reimbursement Manual – Part 1 (PRM_I), Chapter 24, Payment to Providers, Section 2412

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ICD-10 Implementation Training

The full calendar of events may be found on Road to 10. Where a class is listed as “CLASS FULL,” no exceptions can be made. You will have to take the class at another city or by webinar.

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Conferences, Meetings, and Webinars

CMS has partnered with PAHCOM, the Health Resources and Services Administration, the National Association of Community Health Centers, and the National Association of Rural Health Clinics to offer a series of webinars for providers on preparing for ICD-10. Recordings of these webinars are available on the CMS YouTube channel:

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CMS Resources
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