CMS Raises the Bar for Coding Accuracy October 1

September 26, 2016

When ICD-10 was adopted on October 1, 2015, CMS instructed Medicare contractors to not deny 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 provider used a valid code from the correct family. This policy will end on October 1, 2016.

CMS requires a valid ICD-10 code for all claims. Members can view all archived ICD-10 webinars from APMA’s 2015 coding seminar and webinar series, titled “ICD-10 InSight,” and find additional ICD- 10 resources at www.apma.org/ICD10. APMA members are eligible for discounted access ($329/year versus the non-member rate of $650/year) to the APMA Coding Resource Center. This freshly updated APMA resource has ICD-10 codes and crosswalks, and features a streamlined look as well as faster processing and search times.

To start a seven-day free trial, or to activate your subscription, visit www.APMAcodingrc.org.

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