While these changes take effect in January, most psychologists will have little if anything to do since the electronic formatting changes generally are handled by third-party payers and clearinghouses.
Psychologists will want to check to make sure that the payer or clearinghouse has upgraded to the format. This HIPAA update was developed to address some issues in the previous A system and to accommodate the forthcoming use of ICD diagnostic code sets in claims submission, which is scheduled for implementation on October 1, Psychologists generally file electronic claims in two ways: directly to the website or portal of a third party payer, or through a clearinghouse. We expect that most large third-party payers and clearinghouses have already updated their systems to be compliant with HIPAA You may want to check with your smaller vendors to determine if they have completed the updates as well.
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