Tagged with ICD-10 Diagnosis Coding

DOJ v. UnitedHealth

The DOJ moves forward with legal action against two insurers accused of erroneous coding and inflated billing – UnitedHealth and WellMed Medical Management.

Harvard Pilgrim Updates Eylea Medical Policy and 2017 Fee Schedule

Harvard Pilgrim has updated the Eylea Medical Policy to remove some codes that were not consistent with the policy’s intent and will now include ICD-10 codes newly released by CMS. In addition, the insurer says it will update its Standard professional fee schedule, incorporating recently released Medicare relative value units (RVUs) and laboratory rates for 2017.

CMS Offers Revised Q&A for End of ICD-10 Grace Period

As of October 1, the year-long grace period for ICD-10 claims submissions has ended. To assist coders and hospitals, CMS has revised its Q&A “Questions and Answers Related to the July 6, 2015, CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities.”