Less than 50 days until ICD-10 compliance

Originally published in the August 12, 2015 issue of MGMA’s Washington Connection
Reprinted with permission from NCMGMA

Medical groups and others are down to their last 49 days before compliance with ICD-10 diagnosis codes is required. On Oct.1, the new code set will be mandatory on healthcare claims and other HIPAA transactions. The Centers for Medicare & Medicaid Services (CMS) recently issued guidance explaining that for 12 months after ICD-10 implementation, Medicare review contractors will not deny physician claims through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code. Members are reminded, however, that regular code edits apply to claim submission, this flexibility only applies to Medicare, and a valid ICD-10 code is still required.

CMS will be hosting an MLN Connects national provider ICD-10 call on Thursday, Aug. 27 from  2:30 to 4 p.m. ET. Space may be limited, so members are advised to register early. Practice executives are urged to take advantage of MGMA and CMS ICD-10 resources as they prepare their organizations for this complex transition.


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