tci Medicare Compliance & Reimbursement - 2015 Issue 17

ICD-10 Transition: Home Health Providers Protest Physicians' Sweetheart Deal

Home care and hospice providers tell CMS they deserve more leniency. In guidance posted last month, the Centers for Medicare & Medicaid Services (CMS) said that if physicians use the wrong ICD-10 code within the first year after Oct. 1, their claims will still be processed and paid, as long as they use an ICD-10 code from the correct code group. But the grace period applies only to Part B physician services, according to the announcement. This means they are scheduled to get some leeway, while all other provider types are not. According to one provider in the question-and-answer...

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