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tci Part B Insider - 2016 Issue 19

ICD-10: Will Your ICD-10 Claims Be Accepted After Grace Period Ends?

Don’t forget: MACs are still going easy on denials. If your ICD-10 denials are low and your coding confidence is high, you could have a false sense of security—and that could be going away in just a few months. Here’s why: Nearly a year ago, CMS announced that it would implement a grace period for the ICD-10 rollout, assuring practices that MACs would not deny claims with the wrong ICD-10 codes, as long as the codes were from the right “family.” Although this announcement gave practices a temporary reprieve on the ICD-10 denials they...

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