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ICD-10 Readiness

Paramount is ready for the ICD-10 compliance date of October 1, 2015.

Our interdisciplinary ICD-10 Team has worked with our business partners and software vendors to ensure their ICD-10 readiness and to coordinate implementation plans. Paramount’s claims payment system was upgraded for ICD-10 in 2012. Our benefit reconfiguration for ICD-10 was updated in 2014. Paramount completed ICD-10 testing with our strategic testing partners in mid-2015.

ICD-10 project contacts at Paramount:

ICD-10 Project Manager
Cathy.schuster@promedica.org
419-887-2845

ICD-10 EDI Testing Coordinator
phcecshelpdesk@promedica.org
419-887-2532

Prior Authorizations

Starting on October 1, 2015, Authorization Requests must contain ICD10 diagnosis codes. This also applies to Providers who use Paramount’s Clear Coverage application. 

Claims Processing

Paramount will follow CMS’ SE1408 “Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing   International Classification of Diseases, 10th Edition (ICD-10) – A Re-Issue of MM7492” which defines the following:

  • Dual processing
  • Claims with date of service or date of discharge prior to 10/1/2015 must contain only ICD-9 codes
  • Claims with date of service or date of discharge on or after 10/1/2015 must contain only ICD-10 codes
  • Claims that span the ICD-10 implementation date

Policies and Procedures 

Paramount’s medical policies and procedures are updated to accommodate the new ICD-10 codes, which can be accessed from our Publications and Resources page. 

ICD-10 Information for Ohio Medicaid Providers

Please see the following Q&As:

ICD-10 Information for ProMedica Providers