CMS Provides ICD-10 Flexibility To Physicians Only

Posted on Friday, September 11, 2015 11:24 AM

After multiple requests to CMS to clarify whether home health and hospice agencies will be provided the same ICD-10 coding flexibility as permitted for physicians, NAHC has received the following response: “Thanks for your patience on this topic. CMS is not extending coding flexibility to other providers. The reason we focused on claims billed under the Part B physician fee schedule is because many physicians practice in small practices that need additional flexibility to gain experience with the ICD-10 coding set. And, claims billed under the Part B physician fee schedule are primarily paid using CPT codes and not ICD-10 codes. Other services, such as institutional services, are paid based on the ICD-10 codes. “We have named our ICD-10 Ombudsman who will listen to issues raised by all suppliers and providers and will evaluate any specific issues that are raised during implementation. CMS’s ICD-10 Coordination Center will be actively monitoring for any problems that may develop after October 1. This center will quickly identify and initiate resolution of issues that arise as a result of the transition to ICD-10.” NAHC states it’s disappointed by CMS’ decision to provide only physicians relief from consequences related to ICD-10 coding errors. NAHC is concerned that physicians will not have any incentive to provide agencies with information necessary to code to the level of specificity required by ICD-10 coding guidelines, and will continue to pursue CMS to provide flexibility for agencies. Click here to read more.

About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back

Explore Corridor’s Solutions

Share This Story, Choose Your Platform!