ICD-10 CM/PCS Procedure Basics And KPI Assesment ICD-10 CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/ Procedure Coding System) consists of two parts: ICD-10-CM (diagnosis coding) was developed by the Centers for Disease Control and Prevention for use in all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 Read More →

ICD-10 Transition Basics for Small and Rural Practices ICD-10 Transition deadline was on October 1, 2015 – the health care industry transited from ICD-9 to ICD-10 codes for diagnoses and inpatient procedures. ICD-10 Transition means everyone covered by HIPAA must use ICD-10 codes for health care services provided on or after October 1, 2015. Below Read More →

EDI UB-04 Claims Procedures (Security Health Plan) EDI UB-04 Claims processing procedures: EDI UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 51. Health plan ID – Providers’ current Medicare Provider Number. 52. Release of information certification indicator – This field indicates whether the Read More →

Claims Processing Procedures: UB-04 Security Health Plan Claims processing procedures: UB-04 claim completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 37. Unlabeled 38. Subscriber name and address – The name and address of the party responsible for the bill. This information must be Read More →

Hibbet 856 ASN Requirements And Procedures Hibbet 856 ASN must be always accurate as merchandise will move through the Hibbett DC directly from the inbound truck via a sortation / conveyor system (AKA cross dock) on to the outbound store delivery truck. Vendors must follow the requirements set by Hibbet EDI Program as for Hibbet 856 ASN: Read More →

Claims Processing Procedures: UB-04 Security Health Plan Claims processing procedures: UB-04 claim completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 9. a – Patient address – Full mailing address of the patient. (Required) 10. Patient birth date – The patient’s birth date must Read More →

EDI Certification Guidelines For Hibbett Vendors EDI Certification is intended to eliminate all paper media by trading business documents electronically. Hibbett is committed to the use of Electronic Data Interchange (EDI Certification) for the purpose of exchanging electronic documents. EDI Certification requires compliance in the following areas: PURCHASE ORDER (850) ADVANCED SHIP NOTICE (856) INVOICE (810) GS1-128 (FORMERLY Read More →

Hibbett EDI Vendor Basic Policies Hibbett EDI Vendor program means a total commitment to industry-wide technologies that utilize electronic commerce, including universal product code (upc), electronic data interchange (edi) and internet technologies. Through the use of Hibbett EDI Vendor program vendors and retail divisions will realize speed in processing, improved accuracy of data, significant sales increases, cost reductions, stock turn increases Read More →

Claims Processing Procedures: UB-04 Security Health Plan Claims processing (UB-04 claim) completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers. The data elements are listed as fields on the claim form. Security Health Plan claims processing systems require that a complaint red form be used. If the Read More →

EDI Documents Transmission Standards and Guidelines For Security Health Plan Partners EDI Documents Transmission guidelines state that Security Health Plan and the affiliated provider may electronically transmit to or receive from each other any of the standard transactions (collectively “documents”). All EDI Documents Transmission shall be processed in accordance with HIPAA standards and EDI Documents Transmission implementation Read More →