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ED Coding and Reimbursement Alert

ICD-10 Training Tool:

Use These Common Questions and Answers To Educate Providers

Published on Tue Feb 21, 2012

Advice saves you time and headaches researching ICD-10 answers.Question: When will I need to start using ICD-10 codes?Answer: All services and discharges on or after Oct.1, 2013 must be coded using the ICD-10 code set. This means that the work to assure your system modifications and staff training need to be tested and in place on Oct. 1, 2013. Question: If my practice isn't ready, can we delay the implementation?Answer: Any ICD-9 codes for services or discharges on or after Oct.1, 2013 will be rejected and the claim will not be processed. This means your claims and payment will not be processed. If you believe your practice won't be ready, you will need to make financial arrangements to support the expenses of your practice until you can comply with the ICD-10 requirements.Question: How will medical necessity guidelines be revised for ICD-10?Answer: Medical necessity will be determined for payment by payers [...]
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