On July 6, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association released a joint statement about their efforts to help physicians get ready for the Oct. 1 switch to ICD-10 coding. This statement included guidance from the CMS that allows for flexibility in the claims auditing and quality reporting processes.
CMS released a series of frequently asked questions and answers about the changes in late July. The agency has now reissued those questions and answers with revisions to questions 1 and 9, as well as adding nine new questions and answers.
Revised question 1 provides the name and email address for the new ICD-10 ombudsman, William Rogers, MD. Revised question 9 makes it clear that the new flexibility of the ICD-10 Medicare fee-for-service audit and quality program does not extend to any Medicare fee-for-service prior authorization requests. Among the topics addressed in the new questions and answers are:
• How does the guidance and flexibility relate to Medicare Advantage?
• How can physicians access advance payments if their Part B Medicare Administrative Contractors are unable to process claims within established time limits because of administrative problems?
• Will Medicare’s processes change regarding what elements are crossed over to supplemental payers (including commercial payers and state Medicaid agencies)?
Please visit the CMS ICD-10 website for all of the latest news related to ICD-10 implementation.
– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
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