ED Coding & Reimbursement Alert - 2014 Issue 9
Industry Notes: Hold Off on End-to-End ICD-10 Testing Prep
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Article Overview
This article summarizes several Medicare and audit-related industry notes for providers and billing professionals. It covers the status of planned ICD-10 end-to-end testing, a hospital payment integrity issue involving new versus established patient clinic visits, and current recovery auditor review timing and deadlines. The piece is relevant to organizations tracking CMS guidance, MAC communications, and audit activity.
Why This Topic Matters
The topics affect testing readiness, payment accuracy, and claim review timing for Medicare-related workflows. Readers responsible for coding, billing, compliance, and reimbursement oversight can use the article to stay aware of administrative changes and audit timeframes.
What You Will Learn
- The current status of planned ICD-10 end-to-end testing and related CMS guidance
- Why hospital clinic visit payment accuracy depends on patient status classification
- How recovery auditor review timelines and automated review windows affect claim processing
- Which Medicare operational updates may require attention from billing and compliance teams
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance officers
- Hospital outpatient and clinic administrators
- Healthcare auditors
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