Updated on: November 28, 2016

Health Systems Submitting 4.6 Million ICD-10 Claims Daily

By
Original story posted on: October 29, 2015

America’s healthcare system has been submitting ICD-10 claims at the rate of 4.6 million daily since the conversion to the new coding set took effect Oct. 1, according to the Centers for Medicare & Medicaid Services (CMS).

The rate of claim denials is 10.1 percent of all claims being processed, the agency noted in its release today of the newly reported metrics. Total claims that were rejected due to incomplete or invalid information were 2.0 percent.

 

Total claims that were rejected due to invalid ICD-10 codes are 0.09 percent, compared to an historic baseline of 0.17 percent estimated during the agency’s end-to-end testing earlier this year. Claims that were rejected due to invalid ICD-9 codes are 0.11 percent, which also compared to the agency’s estimated 0.17 percent during end-to-end testing this year. 

CMS said it has been carefully monitoring the transition and is pleased to report that claims are processing normally.

“Generally speaking, Medicare claims take several days to be processed and, once processed, Medicare must—by law—wait two weeks before issuing a payment,” the agency reported in making today’s announcement. “Medicaid claims can take up to 30 days to be submitted and processed by states.”

CMS said it would have more information on the ICD-10 transition in November.

 

Chuck Buck

Chuck Buck is the publisher of ICD10monitor and is the executive producer and program host of Talk Ten Tuesdays.

Related Stories

  • Looking back and ahead at ICD-10, ICD-11: Part III
    EDITOR’S NOTE: Five Looking at Ten is a month-long series on ICD10monitor and Talk Ten Tuesdays that examines lessons learned since the nation’s healthcare system adopted ICD-10 – many of which are expected to come into play with the looming…
  • The Train Has Left the Station: ICD-11 on its Way
    New series to focus on preparing for the new code set. ICD10monitor and Talk Ten Tuesdays are launching a new series today, which will continue through November, focusing on the need for early preparation for the new ICD-11 code set…
  • Looking Back and Ahead at ICD-10, ICD-11: Part II
    EDITOR’S NOTE: Five Looking at Ten is a month-long series on ICD10monitor and Talk Ten Tuesdays that examines lessons learned since the nation’s healthcare system adopted ICD-10 – many of which are expected to come into play with the looming…