ICD-10: CMS: For First Year, We Won't Deny Claims With Wrong ICD-10 Codes

Why This Topic Matters

The guidance described here affected how practices prepared for ICD-10 implementation and what they could expect if coding or system issues occurred during the transition period.

Article Sections

1. ICD-10 transition guidance from CMS and AMA

   An overview of the joint announcement and the context for the transition-related guidance. The section introduces the organizations involved and the timing of the update.

2. Support resources during the transition

   Discussion of communication support, an ombudsman role, and related help resources for practices facing implementation questions.

3. Claims processing and temporary flexibility

   General discussion of Medicare claims handling during the first year after implementation and the circumstances CMS addressed in its guidance.

4. Quality reporting and payment programs

   Coverage of reporting programs affected by the transition, including CMS statements about temporary reporting-related concerns.

5. Advance payments and administrative issues

   Summary of guidance related to MAC system problems, partial payments, and how administrative interruptions were described in the update.

6. CMS and AMA outlook

   Closing comments on the agencies’ collaboration and their stated intent to continue supporting the transition.