Outpatient Facility Coding Alert - 2015 Issue 32
ICD-10: WEDI: 29 States Not Prepared to Convert Workers' Comp Claims to ICD-10
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Article Overview
This article summarizes a WEDI update on which states were prepared to accept ICD-10 for workers' compensation claims and which had partial, delayed, or alternate approaches. It also explains the broader payer context for the ICD-10 transition, including how state workers' compensation programs differ from Medicare, Medicaid, and other non-covered entities. The piece is useful for billing, coding, and claims professionals who need to verify whether their state has specific workers' compensation reporting requirements.
Why This Topic Matters
Workers' compensation ICD-10 implementation was not uniform across the U.S., so claim submission rules could vary by state and payer. Readers need this information to avoid denials or processing delays caused by assuming a national transition date applied to workers' compensation claims.
Article Sections
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State workers' compensation ICD-10 readiness
Summarizes WEDI's state-level readiness review and describes how workers' compensation programs were approaching the transition in different ways across jurisdictions.
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Check With Your State
Explains that workers' compensation requirements should be verified directly with state offices and places the topic in the context of payer groups affected by the ICD-10 transition.
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Resource
Points readers to the referenced WEDI readiness resource for state-by-state workers' compensation information.
What You Will Learn
- How workers' compensation ICD-10 readiness varied by state
- Why workers' compensation claims were treated differently from other payer types
- What general sources to consult for state-specific claims requirements
- How Medicaid and Medicare were discussed in relation to the ICD-10 transition
Who Should Read This
- Medical coders
- Billing staff
- Claims processors
- Workers' compensation administrators
- Compliance staff
- Practice managers
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