Part B Insider - 2016 Issue 9
Compliance: Prepare For Solid Dx Claims As 'Grace Period' Ends
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Article Overview
This compliance-focused article explains how the end of a temporary ICD-10-CM claims grace period affects diagnosis reporting for surgical practices. It is aimed at coders, billers, and compliance staff who need to understand the broad types of documentation and coding readiness issues tied to ICD-10-CM specificity, truncated diagnosis codes, and upcoming 2017 updates.
Why This Topic Matters
The article matters because it addresses a transition point when less-specific diagnosis reporting may lead to more denials. It also highlights the need for coding and documentation teams to prepare for ICD-10-CM changes and maintain claim accuracy.
Article Sections
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Be Specific to Avoid Denials
Discusses diagnosis specificity expectations under ICD-10-CM and the broader documentation issues that can affect claim processing for surgical practices.
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Avoid ‘Truncated’ Codes
Explains the general problem of incomplete diagnosis coding and why full code specificity becomes more important after the grace period ends.
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Prep Now for ICD-10 2017
Covers preparation steps for upcoming ICD-10-CM updates, including training, reference materials, and other readiness resources.
What You Will Learn
- How the end of ICD-10-CM claim leniency affects diagnosis reporting
- Why diagnosis specificity matters for avoiding denials
- What truncated diagnosis codes are in general terms
- How to prepare for upcoming ICD-10-CM changes and training needs
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Surgery practice administrators
- Physician office staff
Codes Discussed
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