decisionhealth Newsletters, Part B News - 2015 Issue 10 (October)
ICD-10 launch: Some MAC LCDs behind but providers successfully submit claims
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Article Overview
This article reports early observations from the ICD-10 transition period, including provider readiness, claim submission performance, and workflow preparation across practices and hospitals. It also highlights a temporary issue involving Medicare administrative contractor local coverage determinations and how different policy sources displayed coverage information during the transition. The piece is relevant to coding, billing, revenue cycle, and compliance staff following ICD-10 implementation and payer readiness.
Why This Topic Matters
It offers a real-time snapshot of how the ICD-10 rollout was affecting day-to-day coding and billing operations, especially claim submission and policy lookup workflows. Readers can use it to gauge the kinds of operational issues practices were monitoring during the transition and where confusion could arise in payer policy references.
Article Sections
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ICD-10
Early transition-day observations on provider readiness and overall workflow during ICD-10 implementation. The section focuses on how practices were adapting to new diagnosis coding processes.
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Some MACs showing active ICD-9 LCDs
Discussion of differences in how Medicare administrative contractor coverage policies appeared across lookup sources during the transition. The section addresses temporary inconsistencies in policy displays.
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First ICD-10 claims posting glitch-free
A brief account of initial claim submission activity with multiple payers during the first day of ICD-10. The section centers on early transmission and acceptance observations.
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Preparation has been the key to calm Oct. 1
Examples of preparation activities undertaken by practices and billing teams ahead of the transition. The section covers training, software readiness checks, and office-level planning.
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Practices start ICD-10 before, after Oct. 1
Additional observations from organizations that began using ICD-10 in advance or were working on delayed claim queues. The section reflects how different settings managed timing around the transition.
What You Will Learn
- How providers and billing teams were responding to the early ICD-10 transition
- What kinds of operational issues were being watched during the first days of ICD-10
- How practices prepared staff, software, and workflows for the change
- Why policy lookup differences could create temporary confusion during the rollout
- How early claim submission activity was being monitored across payer types
Who Should Read This
- Medical coders
- Billing managers
- Revenue cycle staff
- Compliance staff
- Practice administrators
- Healthcare providers
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