tci Outpatient Facility Coding Alert - 2015 Issue 12

ICD 10 Transition: CMS Gives a Yearlong Concession Period to Get Used to ICD-10

Ensure the code belongs to the right family and avoid denials. If ICD-10 implementation still has you stressed, remember that CMS has built in some grace periods to ease the transition. Here’s the latest news you need to know. Although your goal should always be to aim for the correct level of specificity, during this first year of implementation Medicare review contractors will not deny physician or practitioner claims billed under the Part B physician fee schedule, as long as the claim has a valid code from the right diagnosis family. However, the review is made through either...

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