tci General Surgery Coding Alert - 2017 Issue 1

ICD-10: Monitor Your Denials Since Grace Period Ended

Compare results for different payers. Did your general surgery practice lean into the ICD-10 grace period that allowed you to avoid claim denials if you simply reported a diagnosis to the proper family? If you did, you might expect a review of claims to show a spike in denials since the grace period ended Oct. 1, 2016. Monitor Returned Claims Although CMS gave you that “grace” for one year following the implementation of ICD-10-CM, most other payers did not. That’s why you’ve probably been coding correctly anyway. “Many major insurers did not offer coding flexibility...

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