BC Advantage - 2015 Issue 7

The CMS ICD-10 Announcement: What It Means to Your Practice

First, the game-changing announcement below means that a sigh of relief is in order. Some of the anxiety surrounding potential financial disaster with the coming of ICD-10 should be abated. CMS announced:"Medicare review contractors [MACs and RACs] will not deny physician or other practitioner claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a valid code from the right family." (see FAQ2 below)Second, we think it means that the sword rattling coming...

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