decisionhealth Newsletters, Part B News - 2013 Issue 10 (October)
Prepare for LCDs with applicable ICD-10 codes to be finalized, published by April 2014
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Article Overview
This article covers Medicare local coverage determination updates associated with the transition to ICD-10 and the timing CMS set for Medicare Administrative Contractors to publish revised LCDs. It is aimed at physician practices, coders, billers, and administrators who need to understand which coverage policies may change, how updates are handled, and why documentation and readiness efforts matter before the transition. The article also addresses broader operational planning, including tracking LCD changes and preparing staff for increased specificity in coding and documentation.
Why This Topic Matters
Practices that rely on LCDs must know when coverage policies are being updated so they can prepare for changes that affect medical necessity review, documentation, and workflow. The article helps readers anticipate administrative impacts from the ICD-10 transition and understand the need to monitor CMS coverage resources.
What You Will Learn
- How LCD updates relate to the ICD-10 transition
- What types of coverage-policy changes trigger CMS review processes
- Why documentation specificity and readiness planning are emphasized for practices
- How practices can monitor coverage updates and prepare for new services
Who Should Read This
- Physician practice administrators
- Medical coders
- Medical billers
- Clinical documentation improvement staff
- Compliance and reimbursement professionals
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