Medicare ICD-10 Grace Period

Medicare ICD-10 Grace Period

Medicare’s ICD-10 grace period has expired and you can no longer count on payment for your claims that include unspecified ICD-10 codes — even if they are from the right code family. The problem is that unspecified codes have been overused, and Medicare and other carriers have said “ENOUGH.” This means that unless you know […]

New Codes and Guideline revisions for 2017

New Codes and Guideline revisions for 2017

We will have number of new codes and guideline revisions that will be implemented for 2017. In the prior years, new codes have been created and deleted as a result of bundling mandates from the AMA’s Relativity Assessment Workgroup (RAW) for the purpose of identifying potentially misinterpretation services. New codes also will be introduced to […]

Did You Notice the July 1 Code Data Updates?

Did You Notice the July 1 Code Data Updates?

July 1 marked the start of this year’s third quarter, bringing plenty of quarterly updates that affect your claims. HCPCS July 2016 code and modifier changes Fee schedule updates, including MPFS indicators Physician and OPPS CCI edit additions, deletions, and modifier indicator changes Up-to-date MUEs: practitioner, DME, and outpatient ASP, AWP, and OPPS NDC-HCPCS crosswalk […]