decisionhealth Newsletters, Part B News - 2015 Issue 11 (November)
MACs report ICD-10 claims-processing errors, mostly tied to LCD policies
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Article Overview
This news article summarizes Medicare administrative contractor reports of ICD-10-related claims-processing errors affecting a range of Part B services across several jurisdictions. It is intended for billing, coding, and revenue cycle professionals who need to know whether payer processing issues may be delaying claims and payments, and it highlights the broad categories of affected services, MAC updates, and follow-up steps discussed by the source.
Why This Topic Matters
Providers and revenue cycle teams need to monitor payer-specific processing alerts during ICD-10 implementation because claims can be delayed, denied, or held unexpectedly. The article helps readers identify whether their MAC has reported issues and reminds them to watch for payment timing and interest on outstanding claims.
Article Sections
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Overview of reported MAC claims-processing issues
Summarizes the recent Medicare claims-processing problems reported by multiple contractors and the broad impact on claims payment timing. It frames the article as an update on ICD-10-related processing disruptions.
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Reported issues by contractor and service type
Describes the affected MAC jurisdictions and the general categories of services involved, including diagnostic, imaging, and preventive services. The section also references contractor alerts and local coverage-related reporting.
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What providers should monitor
Explains the operational implications for providers, including the need to track contractor updates and payment delays. It also notes the discussion of possible interest on held claims and the recommendation to verify contract-specific issues.
What You Will Learn
- Which Medicare contractors reported ICD-10-related processing problems
- What broad types of services were affected by the reported issues
- How providers were advised to monitor claim status and payer updates
- What kinds of payment-delay concerns were raised in the article
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Compliance staff
- Physician office staff
Codes Discussed
Code Ranges Discussed
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