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CMS: Providers can't rely on clearinghouses for ICD-10 implementation

from Government Health IT

Clearinghouses can be a major help for healthcare providers that need help submitting medical claims to healthcare payers. And they may have a role in the ICD-10 transition. According to the Centers for Medicare and Medicaid Services, "It is important to know that while clearinghouses can help, they cannot provide the same level of support for the ICD-10 transition as they did for the Version 5010 upgrade." Clearinghouses allowed healthcare providers to submit medical claims in the HIPAA 4010 standard and sent the claims in the HIPAA 5010 standard to healthcare payers. Apparently there are healthcare providers still using the HIPAA 4010 standard — which cannot hold ICD-10 codes. more


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