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Medicare Compliance & Reimbursement

ICD-10 Preparation:

Not Planning to Transition to ICD-10 as of Oct. 1, 2013? You Might Be Liable to Face Millions in Fines, CMS Reps Say

Published on Mon May 09, 2011

CMS officials are considering how to handle dates of service that span the pre- and post-ICD-10 implementation dates. If you think the ICD-10 codes won't apply to your Medicare claims as of Oct. 1, 2013, CMS has news for you -- not only will your claims be denied if you continue to submit ICD-9 codes to Medicare after that date, but you could face fines. CMS representatives shed light on this and several other issues during the agency's May 18 "ICD-10 National Provider Teleconference." Question 1: How will CMS handle claims that span from before Oct. 1, 2013 through dates after Oct. 1, 2013? Should the practitioner use ICD-9 or ICD-10 codes for these claims? Answer: CMS is mulling how to handle this situation, but hasn't yet arrived at a firm decision. "We are getting very close to finalizing our decision for all claim types, including professional claims, supplier claims, and [...]
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