During the first year following ICD-10 implementation, Medicare review contractors could not deny physicians’ claims if the physician did not code to the highest level of specificity as long as there was no evidence of fraud. Physicians were also exempted from the physician quality reporting system value based modifier.
As of Oct. 1, providers will be required to code and reflect clinical documentation in as much specificity as possible. To avoid claims rejections, CMS recommends providers review its 2016 ICD-10 coding guidelines.
More articles on finance issues:
ClearDATA hires chief revenue officer: 5 things to know
Hackensack Meridian Health merger improves hospitals’ credit ratings
A state-by-state breakdown of 76 rural hospital closures
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
