Updated on: November 28, 2016

Health Systems Submitting 4.6 Million ICD-10 Claims Daily

By Chuck Buck
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.