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

  • 2019: The Year of Interoperability
    Interoperability is seen as the first step to using data for health improvement. I expect that 2019 will be the “Year of Interoperability”.  The Centers for Medicare & Medicaid Services (CMS), through its hospital and physician incentive programs, is asking…
  • The Changing Face of the Social Determinants of Health: Implications for Hospitals
    Rapidly shifting societal demographics impact SDoH. 2018 saw the Social Determinants of Health (SDoH) rise to be among the most popular hot topics for the healthcare industry. In 2018 alone: $1.7 trillion in care was attributed to 5 percent of…
  • A New Year Brings New Challenges
    Coders can expect to confront new challenges, including new payment models and HIPAA changes. The new year brings new challenges for the healthcare industry. From new payment models to updates to the Health Insurance Portability and Accountability Act (HIPAA) to…