Frequently asked questions (FAQ)

What type of changes will we see in the 10-1-2016 ICD update?
The vast majority of changes are in cardiovascular coding with some additional changes in congenital anomaly coding.

What's my best option for ICD-10 training on a budget?
The answer to that depends on your needs, your experience level and your flexibility. We have options for everyone. See Services.

We’re seeing more DRG 981 and 982 assignments Are we coding these incorrectly?
There are some known issues in the DRG groups but an incorrect ICD-10-PCS code is also a likely error. Be sure to check your coding accuracy. If you need help, see Services.

What triggers a third-party audit?
Billing Medicare for services not provided or unbundling of procedures are just two triggers.

How bad can it be if I don't have time to evaluate my denials?
Not that bad if approximately 5% of your total revenue is unimportant to you.

Is it OK to submit code 71020 for a chest x-ray done in our office if we don't do the interpretation?
Don't run the risk of committing fraud.

Is time ever used to determine an E/M code?
Counseling visits can be coded using time.