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

  • CDC Releases Updated Guidelines
    The guidelines are effective from Jan. 1, 2021 through Sept. 30, 2021. On Dec. 16, 2020, the Centers for Disease Control and Prevention (CDC) released updated ICD-10-CM Official Coding and Reporting Guidelines for 2021. The updated document can be found…
  • COVID Vaccines Begin Rollout as Medicare Announces Coverage
    Moderna’s vaccine is expected to be shipped to providers nationwide, on the heels of Pfizer’s. A reeling nation couldn’t have asked for a better Christmas present. The Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the…
  • ICD-10 Codes Amid the Pandemic and the U.S. Election
    The mood of the country impacts claims. There are a few words that can be associated with the pandemic and the election. These words are the following: Stress – a state of mental or emotional strain or tension resulting from…