Starting Oct. 1, the day ICD-10 goes into effect, CMS' fraud prevention system will use data from the new code set to identify patterns that could indicate fraud, according to a Healthcare Finance News report.
CMS will not be able to match ICD-9 patterns, so many legitimate claims could get flagged as being potentially fraudulent.
The biggest problems will come if the federal government refuses to pay claims and be repaid for those found fraudulent. Proper documentation will be necessary to show legitimacy.
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CMS will not be able to match ICD-9 patterns, so many legitimate claims could get flagged as being potentially fraudulent.
The biggest problems will come if the federal government refuses to pay claims and be repaid for those found fraudulent. Proper documentation will be necessary to show legitimacy.
More Articles on Coding, Billing and Collections:
ASC vs. HOPD Reimbursement: 2014 Outlook & Trends
It's Go Time: the Final Preparations for ICD-10
ASC Industry Leader to Know: Greg Hackney of MediGain