CMS and AMA guidance
On Monday, the AMA and CMS jointly announced that CMS "is releasing additional guidance that will allow for flexibility in the claims auditing and quality reporting process as the medical community gains experience using the new ICD-10 code set."
CMS will appoint an ICD-10 ombudsman "to triage and answer questions about the submission of claims."
The guidance document notes that "for 12 months after ICD-10 implementation, Medicare review contractors will not deny physician or other practitioner claims billed under the Part B physician fee schedule ... based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a valid code from the right family."
The guidance also said that if there are problems submitting ICD-10 codes, CMS may in some cases authorize advance payments to physicians.
Click here for a link to the document:
https://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD-10-guidance.pdf
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