Payers may deny claim lines with diagnosis codes that lack specificity when it comes to laterality, either because laterality was required and not indicated, or because laterality was indicated as unspecified. In this post, we’ll review ICD-10-CM laterality coding guidelines and offer a few recommendations.
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In this update, we talk about new details for coding and billing for COVID-19 testing and treatment, and how Medicare, commercial payers, and Americans will pay for it … or not. READ MORE
A year after ICD-10 implementation, the Centers for Medicare and Medicaid Services (CMS) has confirmed that the one-year grace period, announced jointly with the American Medical Association (AMA) in July 2015, will expire on October 1, 2016. READ MORE
Updates to the ICD-10-CM and ICD-10-PCS code sets have been released for the first time following a partial code freeze that began in 2011. READ MORE
The ICD-10 implementation is nearly eight months behind us and most experts continue to give the transition a thumbs up on both cost and ease, but WEDI isn’t ready to move on to the next big healthcare challenge just yet without first evaluating what went right and what could have gone better with ICD-10. READ MORE
With the implementation of ICD-10 more than three months behind us, early indications suggest a successful transition with only minor glitches. Most experts agree, however, that it’s too early to declare an overall ICD-10 victory, however. READ MORE
CIPROMS recently received our first ICD-10 related denial. A call to the payer revealed the denial was made in error, and they are re-adjudicating. READ MORE
With the initial work of transitioning to ICD-10 over, here are a few suggestions for what to do next. READ MORE
While all HIPAA-covered entities were required to transition to the ICD-10 code set as of October 1, 2015, non-HIPAA-covered entities, such as workers compensation and auto insurance companies, were not required to. READ MORE
CIPROMS has entered over $1 million in charges for October dates of service, and payments have been issued or claims are set to pay from most major payers. READ MORE
