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October 2013 Notices     Go back to Notices
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24 Please be advised that the CMS-1500 Form (version 02/12) has been recently revised and will be in effect starting January 6, 2014.

The CMS-1500 Form was revised to accommodate reporting needs for ICD-10 and to align with requirements in the ASC X12 Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3.
Two priorities that were included in the revisions to the CMS-1500 Form include:

1. An indicator in Item Number 21 to identify the version of the diagnosis code set being reported, i.e., ICD-9 or ICD-10. The need to identify which version of the code set is being reported will be important during the implementation period of ICD-10.
2. The second priority was to expand the number of diagnosis codes that can be reported in Item Number 21, which was increased from 4 to 12.

To see a listing of the complete Claim Form Change Log, CTRL + click on the following link: http://www.nucc.org/images/stories/PDF/1500_claim_form_change_log_2012_02.pdf

Transition Timeline:

•January 6, 2014: Payers begin receiving and processing paper claims submitted on the revised CMS-1500 form (version 02/12). ICD-9 codes are to be used for services provided before October 1, 2014. (To view the SAMPLE CMS-1500 revised form, CTRL + click on the following link: http://www.nucc.org/images/stories/PDF/1500_claim_form_2012_02.pdf

•January 6 through March 31, 2014: Dual use period during which payers will continue to receive and process paper claims submitted on either the old CMS-1500 form (version 08/05) or the revised CMS-1500 form (version 02/12). ICD-9 Codes must be used for services provided before October 1, 2014.

•April 1, 2014: Payers will begin to receive and process paper claims submitted only on the revised CMS-1500 form (version 02/12). ICD-9 Codes must be used for services provided before October 1, 2014.

•October 1, 2014: For services provided on or after October 1, 2014, healthcare providers must use ICD-10 Codes.

It is recommended that healthcare providers engage in a dialogue with payers as to their implementation timeframes regarding the transition to ICD-10.
16

The Commission is proud to announce that the Maryland Workers’ Compensation Educational Association has awarded the 2013 Alfred M. Porth Memorial Award to Thomas P. O’Reilly, former Chairman of the Workers’ Compensation Commission.  The name installation ceremony for the Porth Award plaque will be held on Thursday, October 17, 2013 at 2:45 p.m. in the 4th floor lobby of the Commission.

1

Effective October 1, 2013 the Injured Workers’ Insurance Fund (IWIF) becomes Chesapeake Employers’ Insurance Company.  All Commission correspondence and online information will bear this name with the exception of Maryland state employees.  State employees’ claim information will note State of Maryland as the Insurer in all correspondence and online information.  Insurer Designee contact information http://www.wcc.state.md.us/Gen_Info/Insurer_Des.html for both listings will be the same individual.

Chesapeake Employers' Insurance Company's new web address is https://www.ceiwc.com.


General questions regarding the name change as applicable Workers' Compensation Commission claims can be directed to our Public Service office via email info@wcc.state.md.us or our general telephone number, (410) 864-5100.