Health Plan of San Joaquin (HPSJ) is here to help, however your practice must take steps to be ready for the change from ICD-9 to ICD-10 on October 1, 2015.

For any claim submitted with incorrect code

A clean claim should be submitted. Do not submit a provider dispute or a corrected claim.

Prep Your Billing Service and/or Office Staff

Government regulations do not allow HPSJ to correct coding errors or provide specific codes.
If you have any questions regarding billing with ICD-10 codes, please refer to the Medi-Cal website at:
http://files.medi-cal.ca.gov/pubsdoco/hipaa/hipaa_icd10_home.asp.

Clarification

Media reports about a delay in the start date of October 1, 2015 for ICD-10 implementation do not apply to provider practices.

Helpful Tips and Provider Resources

See the website of the federal Centers for Medicare & Medicaid Services (CMS) for more information — www.cms.gov/Medicare/Coding/ICD10/.

If you have questions or need assistance, please call our Provider Services Department at (209)942-6340.