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grace period for new codes

  1. Unhappy grace period for new codes
    Exam Training Packages
    can anyone tell me where to find literature that explains the grace period or no grace period for the icd9 and cpt changes? thanks.

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 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

  3. Default Grace Periods for I9 and CPT/HCPCS
    All grace periods were eliminated effective 10/16/03, per HIPAA rules.

    Carolyn

  4. Default
    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.

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Unfortunately this is true...insurance companies follow their own rules, not HIPPA or CMS guidelines. What suits the carrier best is what they do...
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Location
    Madison Area Chapter in Madison WI
    Posts
    114
    Default
    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 .
    Happy Coding, Claudia


    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email]ccrsconsulting@tds.net
    ccrsconsulting.com - website

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