The transition to the new ICD-10 coding system took effect on Oct. 1, 2015. Do you need some guidance? TMA has you covered with a variety of tools and resources to get you up to speed.
If you run into problems submitting claims, send a report to TMA's Hassle Factor Log or email PaymentAdvocacy@texmed.org. TMA staff will be monitoring the reports and contacting health plans, Medicare, or Medicaid as necessary.
Never combine ICD-9 and ICD-10 codes on one claim.
If you think a Novitas local coverage determination (LCD) policy is missing an appropriate ICD-10 code, there is a fast and easy way to submit that information to Novitas. You can request an LCD reconsideration, using one of two ways:1.You can e-mail the information to Patricia Reidenbach, or 2.You can fax the information to (717) 526-6389. Using fax will get your request in the queue more quickly.
The Novitas policy team will expedite ICD-10 requests for review. (Note: This is only for ICD-10 coding modifications. If you want to request a modification of a LCD policy to expand coverage of a service, you will need to submit clinical evidence.) Please send TMA a copy of the information you submit to Novitas at email@example.com or via fax at (512) 370-1632.
To help with the transition to ICD-10 TMA is offering TMA members free access to a powerful new tool offered by e-MDs.
The e-MDs ICD-10 Code Search Tool offers TMA member physicians and their staff the ability to apply the right ICD-10 coding at the point of patient contact, improving the rate of accepted claims and reducing frustration. Using a combination of keyword filters, anatomical locations, gender, and age, the tool offers a highly intuitive way to build a narrow list of billable ICD-10 codes based on user preferences.
Free access to this tool (a $1,250 value) is just one benefit of being a TMA physician member. If your practice would like to take advantage of this perk, but you are not a TMA member, join TMA now or call the TMA Knowledge Center at (800) 880-7955 for assistance.
If you have difficulties submitting ICD-10 claims due to being unable to complete the necessary systems changes or having issues with your billing software, vendor, or clearinghouse, the following claims submission alternatives are available:
Free billing software;Provider internet portals;Direct Data Entry (DDE); andPaper claims.
These options may work for some physicians, but it is necessary to read and understand ALL the requirements that must be met.
Get the details about each claims submission alternative in the CMS document.
Did you miss a previous seminar, or are you just getting started in preparing for ICD-10? Register for on demand recording of ICD-10 planning and implementation courses. View on demand webinar list.
Essentials in ICD-10 CodingReceive detailed answers to your ICD-10 questions and gain confidence in working with these codes.
Achieving ICD-10 Implementation Success The ICD-10 implementation challenge can seem overwhelming given all its moving parts. This workshop will get your practice fully engaged in the transition.
ICD-10 Documentation and Auditing: Success Is in the DetailsWith the conversion to ICD-10-CM set to take effect Oct. 1, 2015, the time to educate physicians and staff is now. A good understanding of the new coding and documentation conventions is essential to mastering ICD-10 and avoiding claim denials. Have your ICD-10-CM code book ready and register now to get a hands-on look at coding in ICD-10.
Start now and gain the knowledge needed for a seamless transition. View all of the courses available on the TMA Education Center.
Got ICD-10 questions? Call or email the Knowledge Center.
This book includes the entire ICD-10-CM code set and the official guidelines for coding and reporting. Get one now.