{"id":279,"date":"2024-09-14T21:40:48","date_gmt":"2024-09-14T21:40:48","guid":{"rendered":"http:\/\/billinggurus.com\/?page_id=279"},"modified":"2024-09-14T22:24:33","modified_gmt":"2024-09-14T22:24:33","slug":"faq","status":"publish","type":"page","link":"https:\/\/billinggurus.com\/index.php\/faq\/","title":{"rendered":"FAQ"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"279\" class=\"elementor elementor-279\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d098a6a e-flex e-con-boxed e-con e-parent\" data-id=\"d098a6a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9a3e436 elementor-widget elementor-widget-heading\" data-id=\"9a3e436\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently Asked Questions<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-241f4ed elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"241f4ed\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/billinggurus.com\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Home<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26dd0d3 elementor-widget elementor-widget-text-editor\" data-id=\"26dd0d3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Are you last? Find frequently asked questions here.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-064353c e-flex e-con-boxed e-con e-parent\" data-id=\"064353c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5298280 elementor-widget elementor-widget-heading\" data-id=\"5298280\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is ICD-10?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdb7906 elementor-widget elementor-widget-text-editor\" data-id=\"cdb7906\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>ICD-10 stands for International Classification of Diseases, 10th Revision, Clinical Modification and is based on the World Health Organization\u2019s (WHO) 10th revision of the International classification of diseases.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0bb2355 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"0bb2355\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c80402d elementor-widget elementor-widget-heading\" data-id=\"c80402d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is the difference between ICD-9 and ICD-10?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6817016 elementor-widget elementor-widget-html\" data-id=\"6817016\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\n    th,td {\n        text-align: left;\n        padding: 16px 24px !important;\n    }\n<\/style>\n<table>\n    <tr>\n        <th>ICD-9<\/th>\n        <th>ICD-10<\/th>\n    <\/tr>\n    <tr>\n        <td>3-5 Characters<\/td>\n        <td>3-7 Characters<\/td>\n    <\/tr>\n    <tr>\n        <td>13,000 codes<\/td>\n        <td>14,400 codes that can expand to 16,000 through use of sub-codes<\/td>\n    <\/tr>\n    <tr>\n        <td>Limited space for adding new codes<\/td>\n        <td>Easily expandable for adding new codes<\/td>\n    <\/tr>\n    <tr>\n        <td>Lacks detail<\/td>\n        <td>Very Specific<\/td>\n    <\/tr>\n<\/table>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9a5167c e-grid e-con-full e-con e-child\" data-id=\"9a5167c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f15c49 elementor-widget elementor-widget-image-box\" data-id=\"8f15c49\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">What is the compliance date for ICD-10?<\/h4><p class=\"elementor-image-box-description\">All services and discharges on or after October 1, 2014 are required to use the ICD-10 diagnosis and procedure codes. ICD-9 codes will no longer be compliant and will be rejected by the clearinghouses and health plans.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6dafbf elementor-widget elementor-widget-image-box\" data-id=\"b6dafbf\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">Will ICD-10 be delayed again?<\/h4><p class=\"elementor-image-box-description\">The Center for Medicare & Medicaid Services (CMS) has repeatedly stated that regardless whether small practices and other systems may not be ready there will not be another delay in the implementation date of ICD-10. Further, Medicare is on target to upgrade to ICD-10 and is expected to be ready by the deadline.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a060701 elementor-widget elementor-widget-image-box\" data-id=\"a060701\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">Who has to upgrade to ICD-10?<\/h4><p class=\"elementor-image-box-description\">All HIPAA \u201ccovered entities\u201d will have to convert to ICD-10 as it is a HIPAA code set requirement. This means providers, including physicians, which are HIPAA covered entities must comply with this requirement. It is important to note, however, that claims for services provided before October 1, 2014, must use ICD-9 diagnosis and inpatient procedure codes.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f352e2e elementor-widget elementor-widget-image-box\" data-id=\"f352e2e\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">What is the difference between ICD-10-CM and ICD-10PCS?<\/h4><p class=\"elementor-image-box-description\">There are 2 ICD-10 code sets. ICD-10-CM is the International Classification of Diseases, Clinical Modification relates to diagnosis coding. All healthcare providers will use ICD-10 for diagnosis coding. ICD-10-PCS is International Classification of Diseases, Procedure Coding System. Only facilities will be using ICD-10-PCS to report inpatient procedures. Physician practices will continue to use CPT codes to report their performed services.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66ac50d elementor-widget elementor-widget-image-box\" data-id=\"66ac50d\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">Why replace ICD-9?<\/h4><p class=\"elementor-image-box-description\">The ICD-9 code set has become outdated in the over 30-years that it has been in use. ICD-9 simply does not reflect advances and changes in medical technology and the format limits the ability to expand the code set as needed.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e102f1 elementor-widget elementor-widget-image-box\" data-id=\"7e102f1\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">Can I convert to ICD-10 before the deadline?<\/h4><p class=\"elementor-image-box-description\">CMS guidelines require the use of the ICD-9 codes until the October 1, 2014 effective date. Using ICD-10 for claims prior to the effective date will violate CMS current guidelines.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbee1bd elementor-widget elementor-widget-image-box\" data-id=\"dbee1bd\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">What will happen if I am not ready by the ICD-10 effective date?<\/h4><p class=\"elementor-image-box-description\">Any ICD-9 codes used in claims transactions for services or discharges that occur any day after October 1, 2014 will be rejected as non-compliant and these transactions will not be processed. Your transactions process will be disrupted as well as receipt of your payments.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c681ca elementor-widget elementor-widget-image-box\" data-id=\"2c681ca\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h4 class=\"elementor-image-box-title\">What do I need to do to prepare for ICD-10?<\/h4><p class=\"elementor-image-box-description\"><ul>\n\t<li>First get in touch with Billing Gurus. We can assist you in your preparations for ICD-10.<\/li>\n\t<li>Identify what changes you will need to make within your practice to convert to the new code set.<\/li>\n\t<li>Identify what staff will require training and obtain training for those that need it.<\/li>\n<\/ul><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Frequently Asked Questions Home Are you last? Find frequently asked questions here. What is ICD-10? ICD-10 stands for International Classification of Diseases, 10th Revision, Clinical Modification and is based on the World Health Organization\u2019s (WHO) 10th revision of the International classification of diseases. What is the difference between ICD-9 and ICD-10? ICD-9 ICD-10 3-5 Characters [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-279","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/pages\/279","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/comments?post=279"}],"version-history":[{"count":16,"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/pages\/279\/revisions"}],"predecessor-version":[{"id":325,"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/pages\/279\/revisions\/325"}],"wp:attachment":[{"href":"https:\/\/billinggurus.com\/index.php\/wp-json\/wp\/v2\/media?parent=279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}