Today is the deadline for the transition to ICD-10 — It feels like Y2k. HBMA reminds us of contingency plan.
HBMA Reminds us of contingency planAs a result of a Freedom of Information Act request, CMS has released their internal Medicare Fee-For-Service Claims Processing ICD-10 Contingency plan. The document identifies various situations that CMS believed could occur and what actions the agency and/or its contractors would take should those circumstances arise. The scenarios include:
- The Medicare system works, but provider system failures prevent them from submitting claims;
- Provider fails to submit correct ICD-10 codes on Medicare Fee-for-Service claims;
- Medicare systems fail to work properly and inappropriately rejects properly coded ICD-10 claims;
- Circumstances arise that permit providers to submit Medicare claims using ICD-9 codes.