Health Information Management

Pay-per-view: Industry stakeholders respond to physician concerns with ICD-10 implementation

APCs Insider, September 18, 2015

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A few days after Briefings on APCs conducted the interview that appeared in last month's issue with W. Jeff Terry, MD, an AMA delegate from Mobile, Alabama, the AMA and CMS announced an accord regarding ICD-10.
In a joint announcement, the organizations said that CMS would not audit or deny Part B physician fee schedule claims for one year after ICD-10-CM implementation due to lack of specificity. While physicians will still be responsible for meeting medical necessity and LCD and NCD requirements, valid ICD-10-CM codes that include the appropriate first three characters will be sufficiently specific for Medicare claims.
This doesn't assuage all physician concerns as outlined in the proposed grace period requested by Terry, but it signals a significant shift in AMA and CMS relations.
This month, Briefings on APCs spoke with Sue Bowman, MJ, RHIA, CCS, FAHIMA, AHIMA senior director of coding policy and compliance, who testified along with Terry at February's ICD-10 hearing in front of the House Energy and Commerce Subcommittee on Health, and Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC, AAPC vice president of ICD-10 training and education.
The pair responded to Terry's claims and offered advice for how HIM managers and facilities can further prepare physicians for ICD-10-CM.
Continue reading "Industry stakeholders respond to physician concerns with ICD-10 implementation" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the September issue.

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