Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

May 2014

ICD-10 Testing Continues


While legislation was enacted last month to delay the implementation of ICD-10 codes, Harvard Pilgrim is proceeding with plans to conduct ICD-10 testing as planned and is encouraging providers to participate in self-testing now.

On April 1, President Obama signed legislation into law (H.R. 4302 – Protecting Access to Medicare) that requires the federal government to delay adoption of ICD-10 codes until at least October 1, 2015, one year later than the previous ICD-10 implementation date. 

Collaborative Testing
As we assess the potential impact of these legislative developments to our ICD-10 testing and implementation timelines, Harvard Pilgrim will continue to participate in the Massachusetts Health Data Consortium (MHDC) Collaborative Testing Program. Some of the reasons for moving forward with collaborative ICD-10 testing, as outlined by the MHDC’s Executive Steering Committee, include:

  • Completing the Collaborative Testing Program, as scoped and budgeted, will maximize the return on participants’ investments.
  • Testing has a long shelf-life, and postponing or extending the testing would be costly.
  • Collaborative testing cannot continue if MHDC members pursue divergent testing strategies.
  • It is unlikely that a testing collaborative of the same size and scope would be formed at a later date.
  • The knowledge and time gained from completing the testing program now will benefit other ICD-10 projects, including work flow redesign, provider education, and clinical documentation improvement.

Provider Self-Testing
Harvard Pilgrim is also encouraging providers and vendors who submit claims to participate in the ICD-10 validation self-testing now. Timely self-testing will yield important knowledge about operational readiness for ICD-10, identify improvements needed, and, as mentioned above, will allow for more time to address other ICD-10 implementation efforts. Harvard Pilgrim is using the Edifecs Ramp Management application. Upon successful completion of Ramp testing, you will receive a pass/fail notification. This is not an end-to-end test of claims and, therefore, you will not receive a claim acknowledgement or 835 electronic remittance advice. For more information, please refer to the 'Participate in ICD-10 Validation Self-Testing' article in the September 2013 issue of Network Matters.

Harvard Pilgrim’s provider ICD-10 website includes additional information on our ICD-10 implementation and testing program, as well as helpful resources and links. As more ICD-10 information becomes available, look to this website and Network Matters for further updates.

Email this article to a colleague   

Receive Network Matters by e-mail

Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Harvard Pilgrim Health Care Institute Receives National Clinical Award

ICD-10 Testing Continues

Spine Management and Prior Authorization: Sign Up for a Webinar

Harvard Pilgrim Enters Connecticut

Video Presentation: ACA and Risk Adjustment

CLINICIAN CORNER

Comprehensive Approach to Disease Management

Prior Authorization Required for Shoulder Arthroscopy

Expanded Coverage: Capsule Endoscopy of the Small Bowel

Expanded Coverage: Stereotactic Body Radiation Therapy

Hetlioz Now Covered with Prior Authorization

Update: Outpatient Rehabilitative Therapies Authorization

Prior Authorization and Quantity Limits for Testosterone Therapy

South Asian Community Organization Hosts Mental Health Symposium

Complex Case Management

Medication-Assisted Treatment for Opioid Abuse

OFFICE ASSISTANT

Reminder: Unlisted Billing Guidelines

CMS 1500 (08/05) Form Rejected After June 15

Reminder for EFT Users with Clearinghouses

2014 Update of the Home Care Seasonal Flu Vaccine Fee Schedule

Reminder: CPT Code for Administering Immunizations

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator