Since the proposed purchase of Health Net renewals by United Healthcare, several members notified us that they received cancellation notices regarding their practice’s health insurance with Health Net. United Healthcare made a public statement that after the transaction closes Health Net’s Northeast customers have the option of renewing with United Healthcare or another carrier at their renewal date. At the renewal, they will make sure Health Net’s customers understand United Healthcare’s features, services and benefits, hoping to achieve a simplified process to meet customers’ needs.
The Medical Society of New Jersey Insurance Agency would like to offer you our assistance if you are a Health Net insured. If you receive a notice about changes in your plan or wish to understand your available options with United Healthcare or another carrier, please contact us for assistance at 1.866.963.0698.
As of Oct. 1, 2013, the existing ICD-9 diagnosis and procedure code sets will be replaced by ICD-10-CM (diagnosis code set) and ICD-10-PCS (procedure code set). The ICD-10 diagnosis code set has much more specificity in the codes, increasing the code set from 14,000 to 68,000 codes. ICD-10-PCS will be for reporting inpatient procedures only. Current Procedural Terminology (CPT®) will continue to be the code set for reporting procedures in physician offices and outpatient settings.
The conversion to ICD-10 will affect not only your administrative and billing systems but also your business practices and clinical systems. You will need to review your practice for all of the situations in which you use ICD-9 codes today, including your “superbills” or coding tools, electronic health record, quality reporting and public health reporting.
Understanding when these changes will occur and how they may affect your practice will prepare you for a smoother transition to the updated code set. The AMA has prepared the article “Preparing for the Conversion from ICD-9 to ICD-10: What You Need to Be Doing Today” to help physicians and their practice staff prepare for these changes. Visit the AMA’s website at www.ama-assn.org/go/hipaa to access this resource and additional information about the HIPAA standard transactions.