CMS Issues ICD-9 to ICD-10 Transition Claims Instructions

Even though the transition to ICD-10 is not until October 1, 2014, the Centers for Medicare & Medicaid Services has released instructions/guidance regarding the transition. As additional information is released it will be provided in HCAF publications.

A special MedLearn Matters article addressing the transition was recently released. The article, SE1325, provides the following information for home health and hospice providers:

HOME HEALTH – Home health providers will be required to split claims so that all ICD-9 codes remain on one claim with Dates of Service (DOS) through September 30, 2014 and all ICD-10 codes placed on the other claim with DOS beginning October 1, 2014 and later.

HOSPICE – Hospice providers are instructed to split the claim so all ICD-9 codes remain on one claim with Dates of Service (DOS) through September 30, 2014 and all ICD-10 codes placed on the other claim with DOS beginning October 1, 2014 and later.

Longstanding policy requires hospices to bill on a monthly basis, and an edit will be implemented July 1, 2013 that will cause any claims in excess of one per month to reject.  Therefore, the splitting of claims between September 30, 2013 and October 1, 2014 should not be problematic for hospices.

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