Watch out for ICD-10 claims-processing errors

by: Richard Scott Nov 2, 2015

Six of the 12 Medicare administrative contractor (MAC) jurisdictions, entwining more than two dozen states and territories across the U.S., have reported at least one claims-processing error each, according to a Part B News analysis of the MACs’ publicly reported issues.

Here's a round-up of some of the issues:

Mammogram codes G0204 and G0206 automatically denying when providers billed the testing codes with an ICD-10 diagnosis code, even when the ICD-10 diagnosis code was correctly chosen.
“Routine/non-payable diagnosis codes are denying incorrectly” when a routine or non-payable diagnosis code is listed on the claim in addition to a primary diagnosis code.
Delays for chiropractic claims involving procedure codes 98940-98943.

See more on Part B News' up-to-date spreadsheet of the ICD-10 claims-processing issues currently reported by the MACs. Subscribers can login to the Part B News website to see it.

Blog Tags: claims processing, ICD-10

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