Even though physicians will continue to use CPT to report procedures performed in their offices, they will still be affected by ICD-10-PCS documentation requirements. Why is this?
a. Because CMS will compare the physician office documentation to their hospital documentation to make sure it is consistent.
b. CMS mandates hospitals to have clinical documentation improvement programs that have strict ICD-10-PCS documentation requirements.
c. Because hospitals will be using PCS codes to report inpatient procedures these same physicians perform.
d. Payers, especially managed care plans, expect the new documentation requirements to be met before they will approve payment for claims.
Answer: c
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