Hospitals and other providers will have one year to ensure accurate coding as they complete the transition to the International Classification of Diseases, 10th Edition (ICD-10), the Centers for Medicare & Medicaid Services (CMS) says in new guidance.
CMS said it will not deny physician claims due to incorrect ICD-10 codes, as long as the code the provider lists on the claim belongs to the correct code family. The agency also said the one-year grace period will apply to similar accuracy issues in the meaningful use, value-based modifier, and Physician Quality Reporting System programs.
Providers must begin submitting claims to CMS using ICD-10 codes on Oct. 1. America’s Essential Hospitals will host a July 16 webinar to help member hospitals make a seamless transition to the new ICD-10 code set. All hospital staff involved with the transition to ICD-10 are encouraged to attend.
Contact Policy Analyst Shahid Zaman at firstname.lastname@example.org or 202.585.0124 with questions.