AMA Calls for 2-Year Reprieve From ICD-10 Wrong Code Payment Denials

The American Medical Association’s House of Delegates convened last week and passed a policy that calls for a two-year implementation period for ICD-10 or ICD-11, according to a Government Health IT report.

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In the policy, the AMA supports federal legislation to mandate that payers are not allowed to deny payment based on specificity of ICD-10 or ICD-11 diagnosis for two years. Rather, payers can only provide feedback for incorrect diagnosis.

The resolution shows the AMA’s continued opposition to ICD-10 implementation, set to take place Oct. 1, 2014. It resembles the HIPAA 5010 non-enforcement period granted by CMS in 2012.

 

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