tci Medicare Compliance & Reimbursement - 2016 Issue 11
Industry Note: Track Your ICD-10 Progress to Avoid Denials Come October
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Article Overview
This article explains a CMS approach to tracking ICD-10 transition readiness using performance metrics such as claims acceptance, rejection, payment timing, and denial trends. It is aimed at billing, coding, and practice management professionals who want a high-level way to monitor operational impact over time and identify areas for follow-up after the grace period ends.
Why This Topic Matters
It helps practices understand how to measure ICD-10-related performance before and after the October transition period, which can support better denial management and internal process review.
What You Will Learn
- How CMS frames KPI-based monitoring for ICD-10 transition progress
- Which broad claim-performance measures are discussed
- Why ongoing monthly tracking is recommended for operational review
- How denial trend analysis can support internal training efforts
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Compliance staff
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