ICD-10 Transition: Home Health Providers Protest Physicians' Sweetheart Deal

Why This Topic Matters

The article addresses how ICD-10 transition policy can affect claim processing, payment, and documentation expectations across provider types. It is important for organizations managing Medicare claims during the implementation period, especially where coding systems and payment group assignments may not align cleanly across the transition.

Article Sections

1. Provider response to CMS ICD-10 leniency guidance

   Summarizes provider concerns about how CMS applied temporary flexibility during the ICD-10 transition. Focuses on the different impacts on home care, hospice, durable medical equipment, and physician services.

2. CMS guidance for claims spanning the ICD-10 implementation date

   Describes CMS instructions for claims and payment processing when service dates cross the transition deadline. Includes discussion of Medicare administrative review and payment group handling.