Ask the Coding Experts, by Doug Morrow, O.D., Harvey Richman, O.D., and Rebecca Wartman, O.D.
AOA's Coding Experts share solutions to your ICD-10 coding conundrums.
I was told the Centers for Medicare and Medicaid Services (CMS) released additional guidance on the first year of ICD-10 implementation. Where can I access that guidance?
The updated guidance is available on the AOA's alerts and recalls page.
CMS indicated they were going to appoint an ICD-10 ombudsman. Who is it?
The ICD-10 ombudsman is William Rogers, M.D. Dr. Rogers is currently the director of the Physicians Regulatory Issues Team at CMS and a practicing physician at Georgetown University Hospital. The purpose of the CMS ombudsman is to help address concerns from health care professionals after ICD-10 implementation. You can submit inquiries to him via email.
How quickly must CMS process claims? What if CMS contractors experience problems with the ICD-10 transition?
Section 1842(c)(2) of the Social Security Act requires Medicare contractors to make payment on not less than 95% of "clean claims" within 30 calendar days. If there are Medicare system issues that interfere with claims processing, CMS and the Medicare Administrative Contractors will post information on how to access advance payments.
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