Medicare Compliance & Reimbursement - 2015 Issue 44
Physician Notes: ICD-10 Glitch Sinks Some Foot Care Claims
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Article Overview
This brief update explains a Medicare claims-edit problem that affected some routine foot care and nail debridement claims after ICD-10 rollout, along with a documentation guidance item from a MAC about submitting legible versions of handwritten provider notes for review. It is relevant to physician practices, billing staff, and compliance teams that handle Medicare claims, denials, and medical record submissions.
Why This Topic Matters
The article highlights a payer-processing issue that can trigger unexpected denials or payments and describes a practical documentation workflow that may affect how records are presented during audit or review requests.
What You Will Learn
- How a Medicare claims-processing issue after ICD-10 rollout affected certain foot care services
- What a MAC communicated about correcting paid or denied claims through adjustment activity
- How a provider may prepare handwritten notes for review when legibility is a concern
- What documentation must accompany translated notes for payer review
Who Should Read This
- Physicians
- Medical practice administrators
- Coding staff
- Billing staff
- Compliance staff
- Medicare billing specialists
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