decisionhealth Newsletters, Part B News - 2015 Issue 10 (October)
Volume of ICD-10 claims low; real test could be next week
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Article Overview
This article reviews early ICD-10 claims submission activity reported by a claims clearinghouse, including claim volume trends, payer response, portal use, and common rejection patterns seen on the first day of ICD-10 reporting. It is relevant to billing teams, practice administrators, revenue cycle staff, and compliance professionals monitoring operational readiness during the ICD-10 transition. The discussion focuses on general implementation and workflow issues rather than detailed code guidance.
Why This Topic Matters
It provides a real-world snapshot of how ICD-10 adoption was affecting claims flow and clearinghouse operations at the start of the transition, which can help healthcare organizations gauge readiness and anticipate processing issues.
What You Will Learn
- How early ICD-10 claim volume compared with overall claims traffic
- What kinds of operational issues were being observed in initial submissions
- How a clearinghouse responded to claim transmission and resubmission problems
- What general rejection patterns were appearing during the early transition period
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Compliance staff
- Clearinghouse and payer operations teams
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