ED Coding & Reimbursement Alert - 2015 Issue 39
ICD-10: Practices Report Mostly Smooth Sailing Through ICD-10 Transition
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Article Overview
This article reviews early feedback from medical practices and consultants on the ICD-10 transition after implementation, including how claims were being received by payers, where limited billing and coding issues were still appearing, and what CMS said about Medicare and Medicaid payment timelines. It is relevant to coders, billers, practice managers, and reimbursement staff who wanted to understand whether the transition was creating widespread disruptions or mostly routine operational adjustments.
Why This Topic Matters
It helps coding and revenue cycle teams gauge whether ICD-10 implementation was causing broad claim problems or only isolated issues, and it points readers to CMS guidance on payment timing and provider contact resources.
Article Sections
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Most Find Smooth Sailing—With A Few Glitches
Comments from multiple practice and healthcare professionals on how the ICD-10 transition was unfolding in different settings. The section also touches on payer edits, coding workflow challenges, and specialty-dependent differences in the early experience.
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Payments May Not Be Speedy
CMS guidance addressing questions about claim processing and payment timing under the ICD-10 environment. This section summarizes general processing expectations for Medicare and Medicaid and references a provider contact resource.
What You Will Learn
- How practices were describing the early ICD-10 transition experience
- What kinds of operational issues were still being observed after implementation
- How payment timing and claim processing were being explained by CMS
- Why specialty and workflow differences could affect ICD-10 readiness
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Healthcare reimbursement professionals
Codes Discussed
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