Although the national ICD-10 implementation date is October 1, 2015, home health providers need to start coding in ICD-10 as early as August 3, 2015. CMS has identified 5 scenarios for claims starting prior to October 1, 2015 that home health agencies need to be aware of. Understanding these circumstances can prevent unnecessary claims rejections. The 5 ICD-10 Scenarios for Transitional Claims e-book provides easy, step by step instructions on how to identify and properly handle the various ICD-10 transitional scenarios. HIGHLIGHTS FROM THE E-BOOK Primary differences between ICD-9 and ICD-10 coding; When to use ICD-9 vs ICD-10 in OASIS documents, RAPs, 485s and Final Claims; Dual coding requirements; The breakdown of each transitional scenario; A transitional scenario worksheet to provide field staff. Prevent reimbursement denials and delays by educating your home health office and field staff regarding the ICD-10 transitional scenarios that are already effective.
 
Claim rejections are a universal problem for all healthcare providers. Ironically, the most common reasons for claims rejections can be eliminated by a simple claim to chart comparison prior to billing. Commonly referred to as    “Pre-billing compliance”, this process can improve your agency’s revenue stream and reduce your claim denials, rejections and returns. HIGHLIGHTS FROM THE E-BOOK: Introduction to pre-billing compliance Most common return, rejection, and denial reason codes How to check RAP UB04 and Documents How to Check Final Claim UB04 and Documents Receive a comprehensive Pre-Billing Compliance Flow Chart

The 5 ICD-10 Scenarios for Transitional Claims e-book provides easy, step by step instructions on how to identify and properly handle the various ICD-10 transitional scenarios.

HIGHLIGHTS FROM THE E-BOOK

  • Primary differences between ICD-9 and ICD-10 coding;
  • When to use ICD-9 vs ICD-10 in OASIS documents, RAPs, 485s and Final Claims;
  • Dual coding requirements;
  • The breakdown of each transitional scenario;
  • A transitional scenario worksheet to provide field staff.

Prevent reimbursement denials and delays by educating your home health office and field staff regarding the ICD-10 transitional scenarios that are already effective.

 

Avoid Claim Rejections, Returns, and Denials: The Importance of Pre-Billing Compliance Checks

Claim rejections are a universal problem for all healthcare providers. Ironically, the most common reasons for claims rejections can be eliminated by a simple claim to chart comparison prior to billing. Commonly referred to as    “Pre-billing compliance”, this process can improve your agency’s revenue stream and reduce your claim
denials, rejections and returns.

HIGHLIGHTS FROM THE E-BOOK

  • Introduction to pre-billing compliance

  • Most common return, rejection, and denial reason codes

  • How to check RAP UB04 and Documents

  • How to Check Final Claim UB04 and Documents

  • Receive a comprehensive Pre-Billing Compliance Flow Chart