If a provider is unable to submit ICD-10 claims electronically on October 1, there are a number of available claim submission options. Health plans have active outreach programs and are working with their respective provider communities to address issues and concerns, so providers concerned about their systems not being ready to submit claims on Oct. 1 should check with their local health plans or CMS for guidance. Medicare offers these billing options:
- Free billing software that can be downloaded at any time from every Medicare Administrative Contractor (MAC);
- In about half of the MAC jurisdictions, Part B claims submission functionality on the MAC’s provider internet portal;
- Submitting paper claims, if the Administrative Simplification Compliance Act waiver provisions are met.
Additionally, providers can reach out to billing service companies or contact the Healthcare Billing and Management Association to find a billing service company that can assist them with submitting ICD-10 compliant claims.
This article was originally published on Coalition for ICD-10.