decisionhealth Newsletters, Part B News - 2015 Issue 11 (November)
Common services, big payments tied up in ICD-10 claims-processing errors
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Article Overview
This article reviews how ICD-10 claims-processing problems were affecting reimbursement for commonly billed physician services and procedures in several states and Medicare contractor jurisdictions. It is aimed at billing and coding professionals who need to understand the scope of the issue, the code families involved, and the broader payment impact described in the report.
Why This Topic Matters
The article helps readers gauge whether ICD-10-related claim edits or processing errors may be delaying payment for high-volume services in their region. It is relevant for practices monitoring denials, delayed reimbursement, and jurisdiction-specific Medicare processing issues.
What You Will Learn
- The general categories of CPT and HCPCS services implicated in ICD-10 claims-processing errors
- How the article frames the geographic spread of affected Medicare jurisdictions
- Why the reported payment delays matter for common, high-volume services
- How the article presents the scope of reimbursement impact without providing jurisdiction-specific resolution details
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Physician practice administrators
- Compliance teams
Codes Discussed
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