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grace period for new codes

GAMMY

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9
Location
Smyrna, DE
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can anyone tell me where to find literature that explains the grace period or no grace period for the icd9 and cpt changes? thanks.
 
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4,466
Location
Milwaukee WI
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NO grace period

There is no longer any grace period.
ICD9 begins Oct 1
CPT begins Jan 1

The dates refer to the DATE OF SERVICE.

F Tessa Bartels, CPC, CPC-E/M
 
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Grace Periods for I9 and CPT/HCPCS

All grace periods were eliminated effective 10/16/03, per HIPAA rules.

Carolyn
 

GAMMY

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9
Location
Smyrna, DE
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i am in a new state and the manager is telling me the insurance companies will return the claims with the new codes because of the grace period. i insisted the grace period was no longer effective when hipaa came in to play but she is saying in Florida that's not so. :eek:
 
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114
Location
Madison Area Chapter in Madison WI
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Gammy, Insurance carrier are required by law to follow HIPAA, Some may return claims, but do so inappropriately. You are also required by law to submit the appropriate code for the service you provided. If there are issues with the carrier, I'd suggest talking to your contract person, if you are a contracted provider. If you are not a contracted provider, I'd contact your state's insurance commissioner .
 
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