Industry Notes: New ICD-10 Implementation Date Oct. 1, 2015, IPPS Says

Why This Topic Matters

The topics in this article affect coding transition planning, compliance risk, and claim handling workflows. Readers working in inpatient, home health, and broader revenue cycle roles can use it to identify updates that may affect reimbursement, audits, and appeals processes.

Article Sections

1. ICD-10 implementation date update

   A brief note on the timing of ICD-10 transition references in a proposed inpatient payment rule and the related CMS communication context.

2. Hospital settlement involving referral-related allegations

   A summary of a hospital financial settlement tied to allegations involving physician referrals and federal healthcare program concerns.

3. Home health PECOS edit appeals and reopenings

   Guidance from Medicare administrative contractors for home health agencies on handling claim denials associated with physician enrollment and ordering/referring edits.