Coding > Coding

5010 changes

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rdmoore2003:
As far as I know,  this is required across the board.    (fyi: this is one reason why we got rid of therapist helper)

pattil88:
I haven't heard of any exceptions either - basically any service that's currently billed through the 4010/4010AA electronic format has to be reformatted to meet the 5010 requirements. Most practice management software vendors/clearinghouses should be able to translate them with little difficulty. (Of course, where have we heard that before??!!) That's why so many are promoting testing now - even though the payer side seems a little slow to adopt the new standards.

PMRNC:
Yet one of the many reasons I don't like Therapist Helper..  they are wrong. They need to be compliant. PERIOD. All NON 5010 transactions will be rejected after 1/1/2012.

"Practices that perform one or more of the HIPAA transactions electronically, such as submitting a claim, or checking a patient's eligibility, or rely on a billing service and/or clearinghouse to do this on their behalf is effected by this change".

Now this is ONLY my guess.. but Therapist Helper uses DSM codes.. <g> it's my guess that MAYBE they are saying or think it won't effect them? But.. as I tell my providers over and over..throw away your DSM books, they are completely worthless for billing purposes.  AGAIN..this is JUST my guess.. not for me to say why they think they don't have to be ready.

Buglet10:
T.hanks so much for all your help.  One of the therapists I work with is great at dealing with problems so I will have him call therapist helper right away.  I, too, will be calling.  I thought this sounded crazy and now know it is.  Thanks everyone.

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