tci ED Coding & Reimbursement Alert - 2016 Issue 10

ICD-10 Coding: Are You Ready For the End of the CMS ICD-10 Grace Period?

Check out these ED-relevant unspecified codes to prevent future denials. October 1, 2016 marks the end of the one year grace period for post payment reviews related to ICD-10 specificity. That means your ICD-10 coding needs to be accurate enough to stand up to CMS scrutiny. Problem: Widespread use of unspecified codes could cause claim rejections and post payment reviews.  Exactly what will the Centers for Medicare & Medicaid Services (CMS) and other commercial payers will deny is still unknown. But coding with specificity and not relying on unspecified codes could help safeguard your claims. Although specificity is...

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