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ICD-10 & HIPAA 5010

ICD-10: Information in this section focuses on various ICD-10 transition-related requirements and our plans to comply with the mandated transition.

HIPAA 5010: This section also includes information about our compliance with the Health Insurance Portability and Accountability Act (HIPAA). AmeriHealth accepts and issues all electronic claim or remittance transactions in the 5010 format. Providers should be in compliance with HIPAA 5010 transaction and code set requirements as a prerequisite for the conversion to ICD-10.

For the most up-to-date information on ICD-10 rules and guidelines, including recently updated frequently asked questions, visit the AmeriHealth Pennsylvania ICD-10 website and the AmeriHealth New Jersey ICD-10 website.

Communications

Home
2019
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  ICD-10 in Action: Chapter-specific guidelinesPosted: 8/15/2019
Home
2018
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  Reminder: Enhanced claim edits to support correct coding principles and important information about self-funded groupsPosted: 12/14/2018
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  Enhanced claim edits to support correct coding principles and important information about self-funded groupsPosted: 11/14/2018
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  Reminder: Reinstatement of edits for Excludes1 and Excludes2 notes Posted: 10/24/2018
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  Reinstatement of edits for Excludes1 and Excludes2 notes Posted: 9/28/2018
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  Temporary edit suspension for Excludes1 and Excludes2 notesPosted: 8/7/2018
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  ICD-10 in Action: Coding guidelines and conventions – Excludes1 and Excludes2 notesPosted: 6/22/2018
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  ICD-10 in Action: Common reporting errorsPosted: 2/12/2018
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  ICD-10 in Action: Coding for seasonal activitiesPosted: 1/5/2018
Home
2017
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  ICD-10 in Action: Interpreting 'with' or 'in'Posted: 12/7/2017
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  ICD-10 in Action: “Code Also” instructional notePosted: 10/30/2017
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  ICD-10 in Action: Code First coding conventionPosted: 8/31/2017
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  ICD-10 in Action: Coding sequence and coding specificity/unspecified codesPosted: 7/18/2017
Home
2016
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  View up-to-date policy activity on our Medical Policy PortalPosted: 10/31/2016
Home
2015
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  Common ICD coding errors identified on paper and electronic claimsPosted: 12/1/2015
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  ICD-10: FAQ highlightsPosted: 10/1/2015
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  ICD-10 Quick Tips: Updated guidelines for submitting authorizations and referralsPosted: 9/22/2015
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  Preparing for the upcoming October 1, 2015, ICD-10 compliance datePosted: 9/1/2015
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  ICD-10 is fast approaching – Are you ready?Posted: 7/31/2015
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  Get ready for the upcoming ICD-10 compliance datePosted: 7/2/2015
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  Clarification: The AmeriHealth guidelines for submitting authorizations and referrals Posted: 6/1/2015
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  The AmeriHealth guidelines for submitting authorizations and referrals Posted: 5/1/2015
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  External testing update and tips for a successful conversion Posted: 4/1/2015
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  ICD-10: External testing with providers to resume in early 2015Posted: 1/30/2015
Home
2014
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  ICD-10: External testing with providers will resume in 2015Posted: 12/1/2014
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  ICD-10 final rule released: October 1, 2015, is the new compliance deadlinePosted: 8/28/2014
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  Conversion to ICD-10 delayed at least one yearPosted: 5/1/2014
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  Putting ICD-10 into Practice: Correction to October 2013 coding exercisesPosted: 1/9/2014
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  New article series to help providers prepare for October 2014 ICD-10 deadlinePosted: 1/9/2014
Home
2013
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  Putting ICD-10 into Practice: Coding exercises and scenariosPosted: 12/2/2013
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  Putting ICD-10 into Practice: Coding exercises and scenariosPosted: 11/1/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Specialty focus: Immune Deficiencies and Disorders)Posted: 10/2/2013
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  Putting ICD-10 into Practice: Coding exercises and scenariosPosted: 8/29/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #8)Posted: 8/1/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #7)Posted: 7/1/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #6)Posted: 5/31/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #5)Posted: 5/1/2013
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  ICD-10 codes now available in medical and claim payment policiesPosted: 3/28/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #4)Posted: 3/28/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #3)Posted: 3/1/2013
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #2)Posted: 2/1/2013
Home
2012
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  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #1)Posted: 12/28/2012
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  ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Mental and Behavioral Disorders)Posted: 11/30/2012
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  ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Excludes1 and Excludes2, and Borderline Diagnosis Codes)Posted: 11/1/2012
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  HHS announces new ICD-10 compliance date of October 1, 2014Posted: 9/28/2012
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  ICD-10 Spotlight: Know the codes (ICD-10 distinction between burns and corrosions)Posted: 9/28/2012
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  HHS announces new ICD-10 compliance date of October 1, 2014Posted: 9/5/2012
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  ICD-10 Spotlight: Know the codes (ICD-10 distinction between burns and corrosions)Posted: 8/31/2012
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  ICD-10 Spotlight: Know the codes (Clinical terminology in ICD-10)Posted: 7/31/2012
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  ICD-10 Spotlight: Know the codes (Drug underdosing)Posted: 6/29/2012
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  ICD-10 Spotlight: Know the codes (7^th character extension for episode of care for fractures)Posted: 5/31/2012
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  ICD-10 Spotlight: Know the codes (7^th character extension for episode of care)Posted: 5/1/2012
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  ICD-10 implementation update: AmeriHealth continues to move forwardPosted: 5/1/2012
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  HIPAA 5010 troubleshooting informationPosted: 3/29/2012
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  ICD-10 Spotlight: Know the codes (Laterality)Posted: 3/29/2012
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  AmeriHealth follows CMS lead with second HIPAA 5010 90-day enforcement grace periodPosted: 3/29/2012
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  ICD-10 Spotlight: Know the codes (Combination codes)Posted: 3/1/2012
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  HIPAA 5010 troubleshooting tipsPosted: 3/1/2012
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  ICD-10 Spotlight: Know the codes (Code first)Posted: 1/31/2012
Home
2011
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  Reminder: AmeriHealth follows CMS lead with HIPAA 5010 90-day enforcement grace periodPosted: 12/29/2011
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  ICD-10 readiness for AmeriHealth-participating facilitiesPosted: 12/1/2011
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  AmeriHealth follows CMS lead with HIPAA 5010 90-day enforcement grace periodPosted: 12/1/2011
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  The transition to ICD-10 and the impact on providersPosted: 11/1/2011
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  Claims Preprocessing Edits Claims Resolution Document updated for HIPAA 5010Posted: 11/1/2011
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  Now available: ICD-10 Frequently Asked QuestionsPosted: 9/1/2011
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  HIPAA 5010 go-live date changePosted: 9/1/2011
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  Are you ready?: HIPAA 5010 transitionPosted: 7/1/2011

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