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.

 

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