Main | Next page »

Thursday, September 15, 2016

Grace period for ICD-10 coming to an end

We’ve almost completed a full year of ICD-10-CM use. Congratulations! The world didn’t stop turning on its axis; the sun didn’t explode. Now, we are ready for the next hurdle related to ICD-10: The end of the “grace period” extended by the Centers for Medicare & Medicaid Services (CMS).

What was the “grace period?" It was a 12-month period, beginning Oct. 1, 2015, during which CMS processed and paid any Medicare claim submitted with a valid ICD-10 code that was at least within the family (the first three digits) of the diagnosis in question. This period is ending Sept. 30 of this year, after which CMS and its contractors will require the diagnostic codes you submit to reflect documentation and be specific to the patient and condition.

What codes should you be wary of using? “Unspecified,” “NOS,” and “not otherwise specified” codes will gain particular scrutiny from CMS. These codes will often have the digit “9” as the fourth or sixth character.  

How do you determine if your coding is safe? This answer is a two-parter. First, you need to evaluate which ICD-10 codes you are submitting most often on your claims. When I was in clinic, my family doctors thought they used certain codes often. But after I ran reports to show which ones they actually used, they were often surprised. Running a report of your top 25, 50, or 100 ICD-10 codes will help you determine how often you are using unspecified codes and where you need to concentrate on being more specific. Second, make sure you monitor your Medicare administrative contractor’s Local Coverage Determination (LCD) policies and CMS’s National Coverage Determination (NCD) policies. These polices list the covered diagnoses for specific services you may be performing, ordering or referring. Familiarize yourself with these policies. It will save you and your staff time and heartaches – and maybe a few claim denials, too.

Where can I go to learn more? CMS has published frequently asked questions and other resources about ICD-10.

– Barbie Hays, CPC, CPMA, CPC-I, CEMC, Coding and Compliance Strategist for the American Academy of Family Physicians

Thursday, August 11, 2016

It’s not too early to prepare for diagnosis code changes

Changes are coming to the ICD-10-CM code set. Effective with services provided on or after Oct. 1, ICD-10 diagnosis codes will update to the 2017 version.

The update will affect some of the diagnosis codes used in family medicine. For instance, one of the most significant changes is the addition of a new code, R73.03, for “Prediabetes.” Another example is coding for “familial hypercholesterolemia.” If you had to code that today, you would use E78.0 (Pure hypercholesterolemia). The 2017 version of ICD-10 replaces E78.0 with two new options:

•    E78.00 (Pure hypercholesterolemia, unspecified)
•    E78.01 (Familial hypercholesterolemia)

Similarly, ICD-10 is adding three new codes to report joint pain in the hands:

•    M25.541 (Pain in joints of right hand)
•    M25.542 (Pain in joints of left hand)
•    M25.549 (Pain in joints of unspecified hand)

These are just some of the changes relevant to family medicine. Crosschecking the diagnosis codes you use most often (e.g., the ones listed on your superbill) against the 2017 ICD-10-CM code set would be a good place to start in preparing for the update.

You can access the new ICD-10 code set and other related resources through the Centers for Medicare & Medicaid Services ICD-10 web site. The American Academy of Family Physicians also has ICD-10 resources on its web site, including AAFP Coding Flashcards for 2017.

Diagnosis code changes are coming. Are you ready?

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Thursday, March 3, 2016

You’ve made the switch to ICD-10 coding. Now what?

It’s been more than five months since ICD-10 became the required standard for coding and billing patient encounters in the United States, and the Centers for Medicare & Medicaid Services (CMS) wants to make sure your office is using ICD-10 not just correctly but productively. CMS has released the Next Steps Toolkit, a free resource that offers specific suggestions and recommendations in these areas:

Assessing your progress. Practices should compare current performance to a pre-ICD-10 baseline or establish a baseline for making future comparisons. Tracking key performance indicators such as rates of rejection and denial is the first step to improvement.

Addressing your findings. Systematically collecting and answering questions from staff and analyzing your clinical documentation and code selection as needed can help head off future problems and fix current ones.

Maintaining your progress. Physicians should make sure their systems capture annual ICD-10 updates, which take place in October.

For more information, visit CMS’s ICD-10 website and other resources, including this list of contacts, by state, for Medicare and Medicaid questions. 

Friday, December 11, 2015

Specialty-specific ICD-10 coding resources available

The Centers for Medicare & Medicaid Services (CMS) has released a new ICD-10 guide, Resources for Specialties and Selected Health Conditions and Services, aimed at helping physicians and coders properly code common health conditions through ICD-10.

The guide deals with almost two dozen conditions, services, and specialties, including a section devoted to family medicine. Other sections discuss ICD-10 coding for abdominal pain, asthma, cardiology, diabetes, obesity, lab services, and even specific conditions like strep throat and being struck by a vehicle.

The guide is part of CMS’s ICD-10 educational initiative and has direct links to its clinical concept guides, interactive case studies, medical case studies, and webcasts.

Family Practice Management has its own set of ICD-10 coding resources in the FPM Toolbox.

Wednesday, November 4, 2015

Ten percent of claims filed under ICD-10 rejected

One in 10 reimbursement claims filed under the new ICD-10 codes has been denied since the codes became active Oct. 1. But only a fraction of those denials were the result of coding errors.

The Centers for Medicare & Medicaid Services (CMS) recently released statistics from the first 27 days of ICD-10. It said it received 4.6 million claims per day. Of those, 2 percent were rejected for having incomplete or invalid information.

Including an invalid ICD-10 code caused the rejection of 0.09 percent of claims submitted. End-to-end testing conducted earlier this year had estimated 0.17 percent of total claims would be rejected for this reason.

Having an invalid ICD-9 code caused the rejection of 0.11 percent of claims submitted, compared with the expected 0.17 percent, again based on end-to-end testing.

Of all claims processed, 10.1 percent were denied.

CMS and the American Medical Association earlier announced that physicians would have more leeway when filing claims under ICD-10 in the first year, which may explain the low rejection rate for invalid ICD-10 codes.

The agency said it expects to release more information on the ICD-10 rollout this month. It takes Medicare several days to process claims, and the law requires CMS to wait two weeks before issuing payment. Meanwhile, states can take up to 30 days to process Medicaid claims.

Overall, implementation of ICD-10 has been much smoother than some had expected.

Tuesday, October 27, 2015

A month in, how is ICD-10 doing?

Implementation of ICD-10 will be a month old at the end of this week. On average, that represents about one billing cycle for the typical family medicine practice, so this is a good time to assess the initial impact.

Despite some dire predictions, implementation has not led to mass chaos or brought claims processing to a halt. In fact, preliminary reports suggest implementation is proceeding relatively smoothly. For instance, insurers such as Humana and UnitedHealth Group have reported smooth transitions, according to a report by Forbes. Communications from the Centers for Medicare & Medicaid Services (CMS) suggest things are running equally smoothly on Medicare’s end. Physician complaints about the actual implementation have been sparse to non-existent.

That does not mean that implementation has been universally positive. For instance, there are reports that coder productivity has dropped between 20 percent and 40 percent. Also, there are anecdotal stories that some payers, including at least one state Medicaid agency, are not paying for “not otherwise specified” codes under ICD-10.

What should you do if you are among those experiencing challenges in implementing ICD-10? CMS suggests that you take the following steps to locate ICD-10 information and contacts quickly:

•    Step 1 Find resources on the CMS ICD-10 website and Road to 10 online tool.
•    Step 2 Contact your Medicare administrative contractor (MAC) for Medicare claims questions. Your MAC is your first line for Medicare claims help. MACs cannot respond to questions about Medicaid or commercial health plans.
      o    If you have a Medicaid claim question, contact your state Medicaid agency.
      o    If you have a commercial or private health plan claim question, please contact your health plan directly.
      o    The new ICD-10 Resource Guide and Contact List gives MAC and Medicaid contact info organized by state.
•    Step 3 Contact the ICD-10 Ombudsman for questions. The ICD-10 Ombudsman is an impartial advocate with a dedicated team of experts to answer your questions. Responses will typically be sent within three business days of receipt.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Friday, September 25, 2015

CMS issues more clarification on ICD-10 flexibility

On July 6, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association released a joint statement about their efforts to help physicians get ready for the Oct. 1 switch to ICD-10 coding. This statement included guidance from the CMS that allows for flexibility in the claims auditing and quality reporting processes.

CMS released a series of frequently asked questions and answers about the changes in late July. The agency has now reissued those questions and answers with revisions to questions 1 and 9, as well as adding nine new questions and answers.

Revised question 1 provides the name and email address for the new ICD-10 ombudsman, William Rogers, MD. Revised question 9 makes it clear that the new flexibility of the ICD-10 Medicare fee-for-service audit and quality program does not extend to any Medicare fee-for-service prior authorization requests. Among the topics addressed in the new questions and answers are:

•    How does the guidance and flexibility relate to Medicare Advantage?
•    How can physicians access advance payments if their Part B Medicare Administrative Contractors are unable to process claims within established time limits because of administrative problems?
•    Will Medicare’s processes change regarding what elements are crossed over to supplemental payers (including commercial payers and state Medicaid agencies)?

Please visit the CMS ICD-10 website for all of the latest news related to ICD-10 implementation.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Tuesday, September 8, 2015

ICD-10 and workers' compensation

Among the few health care entities not federally required to move to ICD-10 codes starting after Oct. 1 are state workers’ compensation (WC) programs.

That being said, at least 20 states have enacted legislation requiring that their WC programs comply with ICD-10 beginning Oct. 1 anyway. Other states have similar legislation pending or will require ICD-10 codes for specific claim types.

The Workgroup for Electronic Data Interchange (WEDI) has released a chart outlining whether and how each state WC program accepts ICD-10 diagnosis codes. WEDI will regularly update the chart as it receives news from the states. If your state is among those not adopting ICD-10 for WC, you may need to accommodate and maintain dual processing systems, so you can bill both WC for ICD-9 and everyone else for ICD-10.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Friday, August 28, 2015

Claims acceptance rate dips slightly in final ICD-10 test

The Centers for Medicare & Medicaid Services (CMS) finished its series of end-to-end testing ahead of the Oct. 1 transition to ICD-10 coding with an acceptance rate nearing 90 percent.

During July 20-24, around 1,200 physicians, other health care providers, and billing companies volunteered to send test claims. Unlike ICD-10 acknowledgement testing, which simply determines if the tester’s claim is accepted or rejected, end-to-end testing processes the claims through all Medicare system edits and provides an Electronic Remittance Advice.

CMS called the test “successful” and said it accepted 87 percent of the 29,286 test claims submitted. That is down slightly from the 88 percent accepted in April but above the 81 percent accepted in January.

The agency noted that some of the rejected claims were submitted incorrectly on purpose to make sure the Medicare system caught the errors, although it didn’t indicate how many. In any event, the percent of test claims rejected in the July period for having an invalid ICD-10 diagnosis or procedure code remained steady compared with the April results at around 2 percent, while the percentage of invalid ICD-9 diagnosis or procedure codes jumped from less than 1 percent in April to almost 3 percent in July.

Other claims were denied for technical problems, such as using an incorrect National Provider Identifier (NPI), health insurance claim number, submitted ID, or HCPCS code; using a date of service outside the valid range for testing; or using an invalid place of service. CMS said that most of these rejected claims represented provider submission errors in the testing environment that wouldn’t be duplicated with actual claims.

While this was the final end-to-end test, CMS encouraged physicians to continue acknowledgement testing by themselves ahead of the Oct. 1 deadline.

Friday, August 14, 2015

The whys and hows of ICD-10 testing now

As I write this, the ICD-10 implementation date is just 47 days away. Hopefully you have tested your systems and processes by now. But if you have not, we’ll discuss how to get started.

It's important to start ICD-10 testing as soon as possible. First, testing is vital to ensure you can actually create and submit claims using ICD-10 come Oct. 1. Second, the earlier you test, the more time you have to resolve any issues you encounter. Finally, testing is one of the best ways to make sure you avoid cash flow issues after the compliance date.

To get started, map out your workflows and identify where you use ICD-10 codes. This includes any system that stores, processes, sends, receives, or reports diagnosis code information. Examples include:

•    Generating a claim
•    Performing eligibility and benefits verification
•    Preparing to submit quality data
•    Updating a patient’s history and problems
•    Coding a patient encounter

Then prioritize your testing by focusing first on the most important workflows using the diagnoses you see most often. Doing so will likely lead you to focus on your highest-risk scenarios (e.g., claims processing).

Testing is not limited to inside your practice. You also need to test with trading partners, such as vendors, clearinghouses, billing services, and health plans. Test with trading partners to:

•    Verify that you can submit, receive, and process data with ICD-10 codes
•    Understand how ICD-10 updates affect the transactions you submit
•    Identify and address specific issues before Oct. 1

Because time is short, test inside your practice and with partners at the same time if you are just getting started. You can check for testing opportunities at the website of the Cooperative Exchange, an association of clearinghouses.

When testing claims processing with trading partners, be aware that there are two types of testing. In acknowledgement testing, you submit claims with ICD-10 codes. While claims are not adjudicated, you receive an acknowledgement that your claim was accepted or rejected. During end-to-end testing, you submit claims containing valid ICD-10 codes and health plans process the claims through system edits to return an electronic remittance advice.

To get the most out of testing for your practice, you should:
•    Review testing requirements to understand the scope and format of the testing available
•    Focus on your highest-risk scenarios, such as claims processing and the diagnoses you see most often
•    Prioritize testing with health plans, concentrating on those that account for the majority of your claims
•    Test as often as you can

Also, remember that you can test even if you have not yet installed an ICD-10-ready system. One good way to start is to look at the ICD-10 codes for the top 10 conditions you see. Consider volume of conditions and those that account for most of your revenue. Look at recent medical records for patients with these conditions, and try coding them in ICD-10 for practice. Do the records include the documentation needed to select the correct ICD-10 code? You can use any cases of insufficient documentation to create a checklist for physicians and other health care professionals in the practice to consult.

To learn more about getting ready, visit the Centers for Medicare & Medicaid Services website for free resources including the Road to 10 tool designed especially for small and rural practices, but useful for all health care professionals. You can also check out the AAFP ICD-10 resources online.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Friday, July 31, 2015

CMS, AMA offer additional guidance on ICD-10 coding flexibility

As you may have heard, earlier this month the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) announced a series of changes aimed at easing physicians’ transition this fall from ICD-9 to ICD-10 coding.

In particular, the changes provided flexibility for practices still grappling with the large number of new diagnosis codes and the increased level of specificity required. CMS said that for the first year ICD-10 is implemented, physician claims will not be denied solely because the diagnosis code is not specific enough as long as it is from the appropriate “family” of ICD-10 codes.

Like everything else attached to the Oct. 1 switch to ICD-10, this announcement generated its own share of confusion. To help clarify the situation, CMS this week released a series of frequently asked questions and answers about the changes.

Some of the more important points:

• This is not a delay in the implementation of ICD-10. Medicare claims with a date of service on or after Oct. 1 will be rejected if they do not include a valid ICD-10 code. “Valid” is defined as having the full number of characters required for that code to be billed, which could require up to seven characters.

• CMS has defined “family of codes” as the ICD-10 three-character category, such as H25 (age-related cataract). Most categories include additional characters that provide additional information, such as the type of condition and what part of the body is affected (for example, H25.22 for age-related cataract, morgagnian type, left eye). Physicians still must provide a "valid" code, which means they will likely have to report more than just the initial three category characters.

• CMS noted that claims may still be denied for being insufficiently specific because automated claims processing edits that are tied to Local Coverage Determinations or National Coverage Determinations are not changing based on the new guidance. Also, Medicare fee-for-service prior authorization requests and prepayment reviews will still require ICD-10 codes with the correct level of specificity.

• The loosening of the specificity requirement does not extend to Medicaid claims, only to those billed under the Medicare fee-for-service Part B physician fee schedule. It also doesn’t extend to private payers unless those payers determine to offer similar flexibility.

Tuesday, July 7, 2015

CMS sees smaller approval rate in final ICD-10 acknowledgement test

The Centers for Medicare & Medicaid Services (CMS) says it saw a slight dip in the percentage of accepted claims during its final round of acknowledgement testing ahead of the upcoming ICD-10 change.

During the June 1-5 test, the agency accepted 90 percent of the more than 13,000 test claims it received from 1,238 participants nationally. By comparison, CMS said it accepted almost 92 percent of almost 9,000 test claims during acknowledgement testing in March.

Acknowledgement testing gives physicians and others the opportunity to submit claims with ICD-10 codes to the Medicare Fee-For-Service (FFS) claims systems and receive electronic acknowledgements, confirming that their claims were accepted. CMS did not require volunteers to register, and there was no limit on the number of claims that could be submitted.

CMS officials gave no reason for the slight downturn but did say they didn’t identify any Medicare FFS claims system issues during the test period, as they haven’t in any of the previous acknowledgement tests. They added that most of the rejected claims failed for technical reasons, such as the submitter using an invalid National Provider Identifier (NPI) or the wrong date of service, and not for reasons connected to ICD-10.

Although this was the last special CMS acknowledgement testing week before the ICD-10 code switch on Oct. 1, you are welcome to submit acknowledgement test claims anytime up to the deadline. See MLN Matters Articles MM8858 or SE1501 or contact your Medicare Administrative Contractor for more information.

As a reminder, Medicare claims with a date of service on or after Oct. 1, 2015, will be rejected on and after Oct. 1 if they do not contain a valid ICD-10 code. The Medicare claims processing systems do not have the capability to accept ICD-9 codes for dates of service after Sept. 30 or to accept claims that contain both ICD-9 and ICD-10 codes.

On Monday, the CMS and American Medical Association announced efforts to ease the transition for physicians to the new code set, including a one-year grace period during which CMS will not deny or audit Medicare claims based solely on a diagnosis code being insufficiently specific as long as it is from the appropriate family of ICD-10 codes.

Even though the Oct. 1 implementation date is less than 90 days away, you still have time to prepare for ICD-10, if you have not done so already. CMS has created a number of tools and resources to help you succeed. One tool is the “Road to 10,” aimed at smaller physician practices with primers for clinical documentation, clinical scenarios, and other specialty-specific resources to help you with implementation. The American Academy of Family Physicians also has tools, articles, and other resources available for its members.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Thursday, July 2, 2015

ICD-10 has you covered this Fourth of July

Physician practices will need to switch to ICD-10 coding in about 90 days. It's something to consider as you attend July 4th celebrations this weekend: How would I use ICD-10 to code some frequent holiday-related injuries?

First off, keep hydrated and out of the sun so you don't have to worry about sunstroke (T67.0XXA) or heat exhaustion (T67.5XXA). Also, apply lots of sunscreen to avoid a nasty sunburn (L55.1).

If you are by the swimming pool, careful when you dive. Lots of people get hurt "jumping or diving into swimming pool striking bottom" (W16.52).

Summer weekends are a popular time to pull out the grill (Y93.G2). This is a wealth of potential harm, including burning your fingers (T23.031A) on the open flame (X03.0XXA) or picking up a hot burger by mistake (X10.1XXA). Alternatively, not cooking things correctly can lead to food poisoning (A05.9). Also, watch it with the beer consumption (F10.129, alcohol abuse with intoxication, unspecified).

Lastly, it wouldn't be Independence Day without some fireworks (W39.XXXA). Don't stand so close, and you won't have to worry about getting torched (T20.25XA) or losing your hearing (H93.11). 

Have fun!

Thursday, June 4, 2015

Claims acceptance rate rises in latest ICD-10 end-to-end test

With less than four months to go before the transition to ICD-10 coding, the Centers for Medicare & Medicaid Services (CMS) is continuing to make sure the system is ready.

Its latest round of end-to-end testing showed the percentage of failed claims narrowing, most of which it said were caused by technical problems not connected to the new ICD-10 codes.

Between April 27 and May 1, around 875 physicians, other health care providers, and billing companies volunteered to send test claims. Unlike ICD-10 acknowledgement testing, which simply determines if the tester’s claim is accepted or rejected, the end-to-end tests process the claims through all Medicare system edits and provide an Electronic Remittance Advice.

CMS said it accepted 88 percent of the 23,138 test claims submitted, which was an increase from the 81 percent accepted during the end-to-end test conducted earlier this year. It said 2 percent of the claims failed for using an invalid ICD-10 diagnosis or procedure code and less than 1 percent failed for using an ICD-9 code.

Other claims were denied for technical problems, such as using an incorrect National Provider Identifier (NPI), Health Insurance Claim Number, Submitted ID, or HCPCS code, using a date of service outside the valid range for testing, or using an invalid place of service.

CMS said it identified a coding issue involving inpatient hospital claims, which it will fix, and test filers will be allowed to resubmit those claims. An issue with home health claims identified in the January test has been fixed, CMS said.

The final end-to-end testing will be conducted July 20-24.

Wednesday, May 13, 2015

Testing, testing – check your ICD-10 readiness

Physicians who still would like to participate in the final scheduled test of whether they are ready to use ICD-10 codes ahead of this fall’s deadline are getting another opportunity.

The Centers for Medicare & Medicaid Services (CMS) is accepting additional volunteers for the ICD-10 end-to-end testing scheduled for the week of July 20-24. Volunteers will be able to apply from May 11-22. This appears to be the last chance to test coding systems with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) prior to the Oct. 1 implementation date.

CMS will select approximately 850 volunteer submitters to participate in the July end-to-end testing. The selected volunteers will represent a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers. Testers who participated in the January and April end-to-end testing weeks are able to test again in July without re-applying.

Volunteer forms are available on your MAC website, and you will need to complete your form by May 22 to volunteer as a testing submitter. CMS will review applications and select additional July testers, after which the MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing by June 12.

If you are selected, you must be able to submit future-dated claims. You must also be able to provide valid National Provider Identifiers (NPIs), Provider Transaction Access Numbers (PTANs), and beneficiary Health Insurance Claim Numbers that will be used for test claims. This information will be needed by your MAC for set-up purposes by the deadline on your acceptance notice. Testers will be dropped if information is not provided by the deadline.

For more information on end-to-end testing, look at these MLN Matters articles:
•    “ICD-10 Limited End-to-End Testing with Submitters for 2015”
•    “FAQs – ICD-10 End-to-End Testing”
•    “Medicare FFS ICD-10 Testing Approach”

Whether or not you are selected for end-to-end testing, you can still participate in acknowledgement testing with the MACs and the Durable Medical Equipment (DME) MAC CEDI contractor anytime before Oct. 1. Additionally, CMS has scheduled a dedicated ICD-10 acknowledgement testing week June 1-5, during which submitters will have access to real-time help desk support. This is the final dedicated acknowledgement testing week.

MLN Matters Special Edition Article SE1501 explains the differences between acknowledgement and end-to-end testing with Medicare. For acknowledgement testing, all electronic submitters are encouraged to participate, even if you submit claims through a clearinghouse. You can also find more information in the MLN Matters article “ICD-10 Testing - Acknowledgement Testing with Providers.”

Information on how to participate in acknowledgement testing is available on your MAC website or through your clearinghouse (if you use a clearinghouse to submit claims to Medicare). Any provider who submits claims electronically can participate in acknowledgement testing.

Here’s what you can expect during acknowledgement testing:
•    Test claims will receive the 277CA or 999 acknowledgement as appropriate, to confirm that the claim was accepted or rejected in the system.
•    Test claims will be subject to all current front-end edits, including edits for valid NPIs, PTANs, and codes, including Healthcare Common Procedure Coding System and place of service codes.
•    Testing will not confirm claim payment or produce a Remittance Advice (RA).
•    MACs and CEDI will be staffed to handle increased call volume during this week.

When doing acknowledgement testing, make sure test files have the "T" in the ISA15 field to indicate the file is a test file, and send ICD-10 coded test claims that closely resemble the claims that you currently submit. Also, use valid submitter identification, NPI, and PTAN combinations plus current dates of service on test claims. Do not use future dates of service, or your claim will be rejected.

For more information about ICD-10, please visit the ICD-10 and Medicare fee-for-service provider resources web pages on the CMS web site, and for help preparing for ICD-10 implementation, please visit the coding web page on the AAFP web site.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Want to use this article elsewhere? Get Permissions