Claim MD ICD-10 Review


1. – Which type of ICD-10 claims are you able to process?
Which type of transactions are you able to perform:

 
– 270/271 Eligibility Inquiry/ Response?

Yes.
– 278 Auth. Request & Response?
No.
– 837P Claims Submission?
Yes.
– 835 Claims Remittance?
Yes.
– Non-Standard Transactions?


 
2. – Is ICD-10 end-to-end testing open to all clients?

a. – How is payer-specific testing handled?

Claim MD is handling payer specific testing for providers, or providing special pass through payer ID’s for user tests.

b. – How does a practice participate in testing?

Submit claims to payer ID “ICD10” for detailed results on the ICD-10 data submitted.

 
3. – Do you have a physician outreach plan in play?

a. – Are there any special instructions for processing ICD-10 claims?

No.

b. – Are there any new or separate fees for updates or processing?

No.

c. – What percentage of practices do you estimate have/are testing?

 
4. – Specifically, how will your technology help practices transition to ICD-10?
Claim MD auto crosswalks from/to ICD-10, or gives providers a quick list of possible codes when a direct crosswalk is not available.

 
5. – What type of ICD-10 claim reports are you able to provide:

a. – Claim rejections and denials by CPT, diagnosis code, and by payer?

b. – Commonly used unspecified diagnosis codes?

Detailed report of all commonly codes used, and their ICD-10 equivalent.

c. – Other?


 
6. – What type of resources and education do you have available?

 

7. – Is your support staff fully ramped up?
Yes.


 
8. – What % of customers have you communicated your ICD-10 strategy and details with?
100%.

 
9. – What % of EHR/PM vendors have you participated with in testing?

 
10. – Do you know of payers that have not tested, or are still unable to test?
No.

 

TOP CLEARINGHOUSES OF 2024

EDI DIRECTORY

SUBMIT YOUR QUESTIONS HERE

Medical Claims Clearinghouse Ratings and Reviews