ICD-10 Timeline & Information
Navicure Strategy & Timing
ICD-10 "Navicure" Testing
Vendor/Payer ICD-10 Information
Random ICD-10 Facts
100
Everyone covered by HIPAA must transition to ICD-10 by this date.
October 1, 2015 - previously October 1, 2014
100
Navicure made the necessary changes to handle ICD-10 during this industry conversion?
5010
100
This is the Navicure email address for clients to send their test files and questions to.
icd10@navicure.com
100
Where in the Navicure application can a client go to find out if testing is available for a payer?
Navicure University
100
With an ICD-10 code, the first character/position is always this.
A letter (Alpha).
200
If a patient was seen by their primary physician on 08/01/2015 and their provider's office submitted their claim to the payer on 11/01/2015, this claim should include ICD-10 codes. (True/False)
False - Professional claims with dates of service on or before 9/30/2015 must have ICD-9 codes.
200
Navicure provides clients with this useful tool that will allow clients to view/research their increased denials and remark codes due to the ICD-10 transition.
Receivables Manager
200
When a "4010" claim file is received, Navicure compares the "primary diagnosis code" to a list of ICD-9 codes and ICD-10 codes to determine this.
Determine if a claim contains ICD-9 or ICD-10 codes.
200
CMS will not deny any ICD-10 claims for the first 12 months of implementation. (True/False)
False - CMS will not deny claims for specificity reasons. Claims can still deny for other reasons, such as not sending the correct code for the procedure.
200
This is the primary reason for moving from ICD-9 to ICD-10.
Add new codes for more specificity.
300
The most appropriate diagnosis codes can be determined by the "clinical staff" using this information.
Clinical Documentation
300
Navicure can make this change if we find out that a client has received rejections, because the payer is not ready for ICD-10
Relax the Date of Service edit for the payer.
300
On a 5010 claim, Navicure reads these diagnosis code qualifiers in the background data to determine if the claim contains ICD-9 codes or ICD-10 codes.
"ABK" for ICD-10 or "BK" for ICD-9.
300
This vendor partner does not want Navicure to advertise ICD-10 testing with our mutual clients.
eCW
300
The location in the Navicure application, where clients should go to access all ICD-10 resource materials.
Navicure University
400
Most problems associated with the ICD-10 transition are expected to happen during this part of the claim cycle.
Adjudication Process
400
If Navicure is aware that a payer will not be ready on the October 1, 2015 compliance date, Navicure will map all clients' claims from ICD-10 to ICD-9. (True or False)
False - We will only map for clients that have opted in. (And we will only map 1 to 1 matches.)
400
On the electronic HCFA in Navicure, client's would correct these '2' things in order to change an ICD-9 code to an ICD-10 code.
Box #21 of HCFA - Change the diagnosis code and change the diagnosis code indicator to "0",
400
What additional ANSI data does a client get back with end to end testing, but not acknowledgement testing?
835/Remittance Advice
400
This department will be the primary contact at Navicure for the ICD-10 transition.
Client Services
500
ICD-10 CM diagnosis and ICD-10-PCS procedure codes will be required on all ___________ claims for discharge dates on or after Oct. 1, 2015. (Fill in the blank)
Inpatient/Hospital/Institutional
500
These are the 2 main reasons why the life cycle of a claim may increase to 10-20 days.
A learning curve and coding backlog
500
Clients can send their current production 837 files, which contain all ICD-9 codes, for testing. (True/False)
False
500
Currently, these 2 types of payers/claims are not required to switch to ICD-10.
Workers Comp and Auto Claims.
500
This is 1 ANSI report that payers will report ICD-10 rejections on.
997, 999 and/or 277
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