CMS’ new ICD-10 transition plan and newly proposed reimbursement model

July 10, 2015

As Healthcare Finance News reports, the ICD-10 transition period will offer providers additional time to become familiar with the new coding standards while forgiving the inevitable mistakes that accompany any change in billing processes. During the grace period, CMS will not deny or audit claims based solely on an unspecified diagnosis code—and if needed they’ll authorize advance payments if Medicare contractors cannot process claims due to ICD-10 related issues.

Health IT Analytics published coverage of CMS’s June ICD-10 end-to-end testing results, which show that 90% of claims filed were acceptable under the new coding set. This percentage of accepted claims shows a solid two-point increase since April’s testing, and a healthy growth of 9% since the industry’s first testing in January.

Finally, Healthcare IT News offers a review of the newly proposed Medicare reimbursement model that will promote fee-for-value strategies in the home health market. The Home Health Value-Based Purchasing Model is part of the U.S. Department of Health and Human Services initiative to deliver better care at lower cost for healthier people and communities.

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