tci Medicare Compliance & Reimbursement - 2016 Issue 6

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

While health care providers continue to report positive results with ICD-10 claim submissions, the proof is in the results from claims processors, which appear to echo the successful sentiments. This week, revenue cycle management solution provider Relay Health Financial shared its denial rate data for claims that were processed between the ICD-10 implementation date of Oct. 1, 2015 and Feb. 15, and the outcomes were quite impressive. Out of over 262 million claims representing more than $810 billion in reimbursement, only 1.6 percent were denied — a shockingly low number by any measure. “The good news is...

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