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Q: What should I be doing to be ready for the switch to ICD-10?
A: Your office should contact your practice management software vendor and ask them what their plan is to be compliant with ICD-10. You should also contact the claim clearinghouse you use to submit claims electronically and ask what you need to do to become compliant. It is important you prepare well in advance of the effective date to ensure your office is ready.
Q: Will ConnectiCare be ready to accept ICD-10 codes on October 1, 2014?
A: ConnectiCare is taking the necessary steps to ensure that we will meet the ICD-10 standards and timeline for implementation. We will be able to accept and process ICD-10 codes on the mandate’s effective date of October 1, 2014.
Q: Will ConnectiCare accept ICD-10 codes prior to the October 1, 2014 effective date?
A: No, ConnectiCare will adhere to the mandated effective date of October 1, 2014. We will accept only ICD-9 diagnosis codes for all claims with a service date earlier than October 1, 2014.
Q: Will ConnectiCare accept ICD-9 codes after October 1, 2014 and assist with mapping between ICD-9 and ICD-10 coding?
A: ConnectiCare will be prepared to accept both ICD-9 and ICD-10 codes for a period of time after the October 1, 2014, compliance date in order to accommodate claims with dates of services or dates of discharge prior to October 1, 2014. ConnectiCare will determine what, if any, additional accommodations may be needed as defined by CMS as additional information is available. Claims with a date of service later than October 1, 2014, must be coded using ICD-10 codes in order to be accepted for processing.
Q: Will ConnectiCare work with providers to do ICD-10 testing?
A: ConnectiCare does plan to conduct testing with all claims clearinghouses we work with, as well as targeted testing with our larger provider groups. We plan to begin testing in 2013.