Medicaid ICD-10 Implementation Project October 2013 Update

Nebraska Medicaid Clarifications and Additional Information

1.  Dual Processing: When “dual processing” is discussed, there seem to be several interpretations. Dual processing for Nebraska Medicaid means that both ICD-9 and ICD-10 codes will be accepted on and after 10-1-2014, but only if submitted as follows:

·  ICD-9 will only be accepted for processing if the dates of service are before 10-1-2014.

·  ICD-10 will only be accepted for processing if the dates of service (“to” date or discharge date) are on or after 10-1-2014.

2.  ICD-10 Code Books: If you have not done so already, order ICD-10 Code Books now. Some publishers report printing backlogs. Nebraska Medicaid cannot supply the code books or recommend a publisher.

3.  Claim submission timeline: There has been a change to the claim submission timeline that will impact all providers. The timeline changed from one year after the date of service to 6 months, one-half the previous time allowed. Effective September 1, 2013, claims with dates of service September 1, 2013, or later, must be submitted within six (6) months of the date of service.  Claims submitted after the submission time has elapsed, will be rejected/denied.  Providers will begin to see this impact by March, 2014. Certain exceptions are outlined in regulation 471 NAC 3-002.01A at Payment for Medicaid Services.

4.  Nebraska ICD-Collaborative: The collaborative is a partnership of Nebraska individuals and organizations working together to facilitate communication, collaboration and information sharing among ICD-10 stakeholders to assist with the transition to and successful implementation of ICD-10 CM and ICD-10 PCS. Please visit the website at: http://www.nebraskaicd10.org/ . The website includes links to resources and events, such as available training sessions.

Resources- Check out the Nebraska Health Information Management Association website at: http://www.nhima.org for some training opportunities in Nebraska.

The Nebraska Medicaid ICD-10 Project website also has a number of Frequently Asked Questions at http://dhhs.ne.gov/medicaid/Pages/ICD-10.aspx .

The Centers for Medicare & Medicaid Services (CMS) has resources to help prepare for a smooth transition. Visit www.cms.gov/ICD10 to find out more.

Questions?

Please submit questions about this bulletin or about ICD-10 to DHHS.ICD-10Implementation@nebraska.gov.

The Nebraska Medicaid ICD-10 Project website also has a number of Frequently Asked Questions at http://dhhs.ne.gov/medicaid/Pages/ICD-10.aspx .

The Centers for Medicare & Medicaid Services (CMS) website has published a list of Frequently Asked Questions at: http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10FAQs2013.pdf

 

 

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