ED Coding & Reimbursement Alert - 2015 Issue 33
ICD-10: MediCal: We'll Convert ICD-10 Claims to ICD-9 Before Processing
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Article Overview
This article explains how California Medi-Cal is handling the ICD-10 transition during a temporary claims-processing phase. It is relevant for billing and coding professionals who need to understand payer implementation timing, crosswalk-based adjudication, and where to look for payer guidance during the transition period.
Why This Topic Matters
Payer readiness during the ICD-10 transition affects claim submission workflows and how providers interpret Medicaid guidance. The article helps readers track a temporary processing method and the move toward native ICD-10 adjudication.
What You Will Learn
- How California Medi-Cal is approaching ICD-10 claims processing during a temporary transition period
- What a crosswalk-based adjudication approach means at a high level
- Why payer implementation timing matters for claim submission workflows
- Where providers are directed to look for Medi-Cal guidance and FAQs
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice managers
- Compliance staff
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