ICD-10 Transition

ICD-10 Transition Basic Requirements For Providers ICD-10 Transition will change how everyone in health care will do business. Many large multi-specialty practices to small provider offices, laboratories, medical testing centers, hospitals and more HIPAA entities will need to devote staff time and financial resources for ICD-10 Transition activities which include: Identifying how ICD-10 Transition will Read More →

EDI ICD-10 Systems Set Up Notes And Guidelines EDI ICD-10 systems set up is important as ICD-10 involves new coding rules, so many health care entities are reviewing payment and benefit policies. The transition from ICD-9 to ICD-10 will change how everyone in health care will do business. Trading partners are exchanging information about their readiness plans and Read More →

ICD-10 Transition Procedure

ICD-10 Transition Procedure Preparation Steps ICD-10 Transition means that a HIPAA-covered entity uses the transition of the ICD-10 codes for health care services. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after this date. The ICD-10 Transition deadline has been delayed by the federal government until no earlier than  October 1, 2015. Read More →

ICD-10

ICD-10 Compliance FAQs (Security Health Plan) ICD-10 compliance means that a HIPAA-covered entity uses ICD-10 codes for health care services provided on or after October 1, 2015. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after this date. The ICD-10 deadline has been delayed by the federal government until no earlier than  October Read More →

ICD-10

ICD-10 Compliance FAQs (Security Health Plan) ICD-10 compliance means that a HIPAA-covered entity uses codes for health care services provided on or after October 1, 2015. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after this date. This code set deadline has been delayed by the federal government until no earlier Read More →

EDI ICD-10

EDI ICD-10 Implementation Guidelines For Security Health Plan Providers EDI ICD-10 code sets are used to report medical diagnoses and inpatient procedures. In 2015 EDI ICD-10 replaced ICD-9. Use of EDI ICD-10 versus ICD-9 on claims is based on dates of service—not on dates that claims are submitted. For dates of service on or after October 1, 2015, providers Read More →

837 Professional Health Care Claims

837 Professional Health Care Claims Guidelines For Health Partners Plans Providers 837 Professional Health Care Claims Guidelines should be used in conjunction with the ASCX12N 837 Standards for Electronic Data Interchange Technical Report Type 3 and WebMD/Emdeon Business Services Companion Guides. Information in the blog defines specific Health Partners Plans business rules and information applicable to the 837 Read More →

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270/271 Eligibility Inquiry & Response Companion HIPAA Guidelines 270/271 Eligibility Inquiry & Response guidelines contain clarifications as permitted by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Standard for Electronic Transactions. Please, mention that Health Partners Plans, Inc. may make improvements and/or changes to the information contained in this blog so you should look for Read More →

837 Institutional Health Care Claims Guidelines For Health Partners Plans Providers 837 Institutional Health Care Claims Guidelines should be used in conjunction with the ASCX12N 837 Standards for Electronic Data Interchange Technical Report Type 3 and WebMD/Emdeon Business Services Companion Guides. Information in the blog defines specific Health Partners Plans business rules and information applicable to the Read More →

Electronic Claims Processing

Electronic Claims Processing Guidelines For Health Partners Plans Vendors Electronic Claims Processing with Health Partners Plans allows to decrease administrative costs, avoid processing delays, increase your claim acceptance rates and productivity, receive records of claim receipts and detailed claims status. You can have speed, convenience and lower administrative costs through Electronic Data Interchange (EDI) or electronic claims processing. Health Read More →