The Role of Clearinghouses in the ICD-10 Transition
Practices preparing for the October 1, 2014, ICD-10 deadline are looking for resources and organizations that can help them make a smooth transition. ICD-10 describes a medical diagnosis or hospital inpatient procedure and must be selected by the provider or a resource designated by the provider as their coder, and is based on clinical documentation.
During the change from Version 4010 to Version 5010, clearinghouses provided support to many providers by converting claims from Version 4010 to Version 5010 format. For ICD-10, clearinghouses can help by:
- Identifying problems that lead to claims being rejected
Providing guidance about how to fix a rejected claim (e.g., the provider needs to include more or different data)
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