Navicure ICD-10 Review


1. — Which type of ICD-10 claims are you able to process?
Navicure® is prepared to process all ICD-10 claims, both professional and institutional, and our industry leading professional claim edits are updated to catch errors before sending the claims on to the respective payers.
 
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?
No
 
2. — Is ICD-10 end-to-end testing open to all clients
Navicure has made testing available for all of our clients beginning in July, 2013. End-to end testing was made available for the payers that offered that type of testing.Yes

a. — How is payer-specific testing handled?

Navicure has tested with as many payers as possible.

b. — How does a practice participate in testing?

Practices can work with Navicure Client Services to load ICD-10 coded batch claim files into Navicure®

ClaimFlow™ to demonstrate the ability to process ICD-10 claims.
 
3. — Do you have a physician outreach plan in play?
Navicure has been communicating regularly with our client base about ICD-10 for more than three years, including our published content on the www.icd10hub.com, the development of the ICD-10 Analyzer™ tool, as well as educational webinars and email broadcasts informing clients of our progress and recommending courses of action to take to prepare.

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

No, clients will not need to take any action to use Navicure ClaimFlow to process ICD-10 claims. Because Navicure ClaimFlow is a cloud-based software application, all updates will be automatically deployed and accessible to clients.

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

No, there is no additional cost to process ICD-10 claims.

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

10%
 
4. — Specifically, how will your technology help practices transition to ICD-10?
Because Navicure ClaimFlow is a cloud-based software application, the product is seamlessly ready to begin accepting ICD-10 claims on October 1, 2015.
 
Additional resources are available at www.icd10hub.com and the ICD-10 Analyzer free tool.

 
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?

Navicure has reporting available for rejections and denials by payer, remittance reason and remark codes and by rejection message.

b. — Commonly used unspecified diagnosis codes

Clients can easily view claims that have rejected for Coding reasons within our application and export to Excel for further review.

c. — Other?
 
6. — What type of resources and education do you have available?
Navicure has been communicating regularly with our client base about ICD-10 for more than three years, including our published content on the www.icd10hub.com, the development of the ICD-10 Analyzer preparation tool, as well as educational webinars and email broadcasts informing clients of our progress and recommending courses of action for the practices to take to prepare.Yes
 
7. — Is your support staff fully ramped up?
Yes, our Client Services team has been extensively trained on the ICD-10 transition impacts and are fully prepared to deliver ongoing 3-Ring® Support (where all client calls are answered within three rings or less) throughout the transition and thereafter.Yes
 
8. — What % of customers have you communicated your ICD-10 strategy and details with?
We have actively communicated with 100% of our clients via broadcast email communications informing them of our ICD-10 readiness preparations.Yes
 
9. — What % of EHR/PM vendors have you participated with in testing?
Navicure has tested with all of our EHR/PM vendors that have been willing to test with us.Yes
 
10. — Do you know of payers that have not tested, or are still unable to test?
We are not aware of any payers that were unable to test, but there were payers that did not make testing available.
 

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