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 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 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 →
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 →