Physician Note: Relay Health Sees Just 1.6 Percent of ICD-10 Claims Denied

Why This Topic Matters

The piece brings together payer-side claims experience and federal guidance that can affect denial management, coding accuracy, and compliance monitoring. It helps readers understand the broader operational environment surrounding ICD-10 adoption and fraud analytics.

Article Sections

1. ICD-10 claim denial results from RelayHealth

   This section reports claims-processing results from a revenue cycle management vendor during the early ICD-10 period. It focuses on overall denial trends and the scale of claims processed.

2. CMS Next Steps Toolkit

   This section describes a CMS resource intended to help practices assess ICD-10 progress and identify areas for improvement. It emphasizes general readiness support and coding accuracy resources.

3. OIG fraud report and predictive analytics

   This section reviews OIG’s annual fraud and abuse control reporting and its emphasis on analytics-based fraud detection. It also references the Fraud Prevention System and its role in Medicare oversight.