What should providers do to avoid unnecessary denials?
Where do new ICD-10 codes come from? How can you submit a proposal for a new code? This month’s Code Cracker discusses the process.
In the months leading up to the ICD-10 go-live, many hospitals implemented CAC in the hopes that it would offset anticipated productivity losses and boost coding accuracy. Did CAC fulfill its promise?
Due to the high volume of new ICD-10 procedure and diagnosis codes released on October 1, 2016, the CMS was unable to update all of the PQRS measures. As a result, CMS will not penalize eligible providers or group practices that fail “to satisfactorily report for CY [calendar year] 2016 solely as a result of the impact of ICD-10 code updates on quality data reported for the 4th quarter of CY 2016.”
We may look back on the 25-year span following the change of the millennium as one of the most densely populated periods of healthcare regulation ever seen in the history of the United States. Every year, individual clinicians, private practices, and health systems are bombarded with new coding, compliance, quality, and reimbursement models, making staying ahead of the curve in terms of overall strategy nearly impossible.