Purchase any WEBINAR and get
10% Off
Validity : 23rd Mar'24 to 02nd Apr'24
ICD-10-CM is the means in which medical fee for service providers report to insurance carriers and governmental agencies the medical necessity of a medical service or procedure. This is listed on the claim line of a medical claim form or sent via electronic transfer in a claim format to insurance carriers and governmental agencies for the reimbursement of medical services and procedures. If the ICD-10-CM code does not meet the medical necessity requirements of the insurance carrier, the medical claim will be denied, and the responsibility for the payment of that service may fall on the patient, or not be reimbursed at all. ICD-10-CM codes are required to report why a medical service or procedure was performed on medical claim forms. Without understanding and implying the annual changes, medical providers can risk not getting paid for a service, and/or being accused of submitting false claims.
The World Health Organization(WHO) and the Center for Medicare and Medicaid Services(CMS) make changes to the International Classification of Diseases, Version 10, Clinical Modifications (ICD-10-CM) that create new diagnoses codes, revisions to codes already listed, and deletions of codes to keep up with medical conditions, diseases, and injuries. The United States is the only country that uses ICD-10-CM to report the medical necessity of a medical procedure or service. Effective October 1st of each year these changes become effective and medical claims submitted to insurance carriers and governmental payors not reflecting the ICD-10-CM code changes will result in claim denial and a delay in reimbursement.
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.