Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

CIPROMS ICD-10 War Room: Non-HIPAA Entities and a Run-Down of the Numbers


While all HIPAA-covered entities were required to transition to the ICD-10 code set as of October 1, 2015, non-HIPAA-covered entities, such as workers compensation and auto insurance companies, were not required to. CIPROMS recently submitted October claims for seven different liability carriers and will track whether those carriers adjudicate claims with ICD-10 diagnosis codes or still require claims to be submitted with ICD-9 codes.

In other ICD-10 news, CIPROMS has now submitted more than $4 million in October claims and still has received no denials or rejections resulting from ICD-10. As an extra measure, CIPROMS staff reviewed all zero payments posted for October dates of service (which includes all eCommerce rejections that are auto-posted by our practice management system), and none were ICD-10 related.

While payment turn-around often takes several days following claims submission (and Medicare is not allowed to pay sooner than 14 days), payments are beginning to roll in for October dates of service and are being processed normally. Also, CIPROMS has received remit files from most major payers now—including IN Medicaid, Anthem, Aetna, Humana, United Healthcare, Cigna, and WPS Medicare—and has encountered no disruption in payment volume at this time.

As indicated in previous updates, we will continue to keep you up to date on our experiences during the ICD-10 implementation. If you are a CIPROMS client who has questions about ICD-10, contact your assigned account executive per normal protocol. If we uncover any ICD-10 issues related to your account, someone will contact you directly.

General questions about ICD-10 or other CIPROMS services can be sent to cipromsmarketing@ciproms.com.

— All rights reserved. For use or reprint in your blog, website, or publication, please contact us at cipromsmarketing@ciproms.com. Photo by tom_bullock via Flickr used with permission under the Creative Commons License. Photo was recolored as sepia, cropped, and words added.


Charity Singleton Craig

Charity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. She is responsible for creating, editing, and managing all content, design, and interaction on the company website and social media channels in order to promote CIPROMS as a thought leader in healthcare billing and management.

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