CMS Softens Stance on ICD-10 Compliance - Announces 12-month Delay in Denying Claims Due to Reporting Incorrect Code - McDermott+Consulting

CMS Softens Stance on ICD-10 Compliance – Announces 12-month Delay in Denying Claims Due to Reporting Incorrect Code

CMS announces a 12-month grace period in their enforcement of ICD-10.

On July 6, 2015, after months of significant pressure from the American Medical Association (AMA) and other doctor groups, CMS announced a 12-month grace period in their enforcement of ICD-10. ICD-10 is scheduled to be implemented on October 1, 2015. While a valid ICD-10 code will still be required on all claims starting October 1, 2015, CMS announced that they will not deny claims solely for the incorrect use of an ICD-10 code for 12 months after the October 1 compliance date as long as the provider reports a valid ICD-10 code from the correct family.