tci Medicare Compliance & Reimbursement - 2015 Issue 22
ICD-10 Implementation: Bogey of ICD-10 Belied by Smooth Transition
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Article Overview
This article reviews early experiences after ICD-10 implementation across hospitals, practices, and consultants, with attention to claims acceptance, denials, coding workflow challenges, and payer readiness. It also summarizes CMS guidance on Medicare and Medicaid payment timelines and points readers to a provider contact resource. The piece is most relevant to coders, billers, practice managers, reimbursement staff, and healthcare administrators tracking the operational impact of ICD-10.
Why This Topic Matters
It helps readers gauge how the transition is unfolding in practice and where operational issues may still arise, while also highlighting official timing guidance that affects cash flow and claim follow-up.
Article Sections
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Most Find Smooth Sailing — With a Few Glitches
Provider and consultant perspectives on the early ICD-10 transition are summarized, including claim processing experiences, workflow impacts, and differences by specialty or payer readiness.
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Payments May Not Be Speedy
This section covers CMS information about claim processing and payment timing for Medicare and Medicaid, along with a referenced provider contact resource.
What You Will Learn
- How early ICD-10 adoption was affecting claim submission and acceptance
- What types of operational issues providers were reporting after implementation
- Why specialty and workflow differences can influence the transition experience
- What CMS said about Medicare and Medicaid payment timing
- Where CMS directed providers for contact information and claim status support
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Healthcare administrators
- Reimbursement consultants
Codes Discussed
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