CMS Releases Clarifying Questions and Answers Related to the Grace Period

This week, CMS released “Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities,” which provides answers to the most commonly asked ICD-10 grace period questions. 

As you are aware, on July 6, 2015. CMS and AMA released a joint statement announcing a new one-year grace period for ICD-10. The grace period includes: no denials of Medicare claims based on the ICD-10 code provided as long as the physician submitted an ICD-10 code from the appropriate family of codes; the authorization of advanced payments if Medicare contractors are unable to process claims within established time limits; the assurance that providers will not be punished in quality reporting programs for ICD-10 codes used; and the establishment of an ICD-10 ombudsman to help triage physician problems during the transition.

As a reminder, ASCRS•ASOA also recently launched a new ICD-10 Resource Center to assist members in preparing for the October 1, 2015 ICD-10 implementation, which includes

  • ASCRS•ASOA ICD-10 materials
  • CMS ICD-10 resources
  • Recent ICD-10 advocacy by ASCRS
  • Information on upcoming ASOA ICD-10 training events

If you have any questions, contact Ashley McGlone at 703-591-2220.