Is Your Home Health or Hospice Ready?

October 1st is now only 30 days away and all providers should have either completed their ICD-10 implementation preparations or should be well under way.

CMS recently conducted its final Medicare FFS ICD-10 End-to-End Testing Week in July and has reported that testing was successful. The testing week was held July 20 through July 24, 2015 and the following Medicare Fee-For-Service (FFS) entities participated:

  • health care providers
  • clearinghouses
  • billing agencies

The end-to-end testing week was the third with the Medicare Administrative Contractors (MACs) and the Durable Medical Equipment (DME) MAC Common Electronic Data Interchange (CEDI) contractor. CMS indicated in recent communications that they were able to accommodate most volunteers, representing a broad cross-section of provider, claim, and submitter types and that the final end-to-end testing week demonstrated that CMS systems are ready to accept and process ICD-10 claims.

Providers can continue to submit and participate in acknowledgement testing, which can be completed at any time prior to the October 1st implementation date.

Now is the time to make sure your home health or hospice agency’s ICD-10 implementation preparations are well under way and that your staff has been trained. Providers using HEALTHCAREfirst software have received ICD-10 software updates and should contact HEALTHCAREfirst support with questions, or to receive ICD-10 training materials. Providers using other software products should ensure their software systems have been updated for ICD-10.

Medicare claims with a date of service on or after October 1, 2015, will be rejected if they do not contain a valid ICD-10 code. The Medicare claims processing systems do not have the capability to accept ICD-9 codes for dates of service after September 30, 2015 or accept claims that contain both ICD-9 and ICD-10 codes.

Home health and hospice agencies that are still in the final stages of preparation can utilize the following links and resources: