The National Uniform Affirmation Committee has adapted the CMS-1500 allowance affirmation anatomy to board the new ICD-10 codes and accepted accepted for cyberbanking bloom affliction transactions.
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Known as “version 02/12” and accustomed by both the Centers for Medicare & Medicaid Services (CMS) and the Office of Administration and Budget, the adapted affirmation form(www.nucc.org) includes revisions advised to advance the accurateness of abstracts reported.
Two changes of note:
• Physicians can analyze in Item 21 whether they are application ICD-9 or ICD-10, which will appear in accessible during the alteration to the new codes in October 2014. As acclaimed in a antecedent post, it depends on the absolute date of account whether you use ICD-9 or ICD-10 on claims submitted afterwards Oct. 1, 2014.
• The analysis acreage in Item 21 will acquiesce up to 12 codes. The accepted anatomy (version 08/05) is bound to four.
Other revisions will additionally advice with accuracy. For instance, you will now be able to analyze in Item 17 the role of the provider as “Ordering,” “Referring,” or “Supervising.”
The alpha date for application the revised anatomy has not yet been announced. However, Medicare anticipates implementing the revised affirmation anatomy as follows:
• Jan. 6, 2014 – Medicare begins accepting and processing cardboard claims submitted on the revised form.
• Jan. 6, 2014, through March 31, 2014 – Providers can use either the accepted anatomy or the revised one.
• April 1, 2014 – Only the revised anatomy can be used.
These dates are acting and accountable to change. CMS will board added advice as it is available. Also, CMS is afterlight the Medicare Claims Processing Internet Only Manual(www.cms.gov) to acquaint contractors and physicians apropos how to complete the revised anatomy online and will column this advice on the CMS website back it is available.
If you still abide cardboard claims, you would be astute not to acquirement ample quantities of the accepted form. If your convenance submits cyberbanking claims, you should allege to your software bell-ringer to actuate how and back your convenance administration arrangement will be adapted to board the revised form.
– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
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