Physician Notes: CMS: 90 Percent of ICD-10 Claims Have Been Accepted So Far

Why This Topic Matters

It gives a quick snapshot of how CMS described early ICD-10 processing performance and highlights a separate federal audit focused on enrollment integrity and documentation checks in PPACA marketplace systems.

Article Sections

1. CMS reports on early ICD-10 claim processing

   Covers CMS’s early monitoring of Medicare claim processing after the ICD-10 transition and the general status of denials and processing timelines.

2. GAO report on marketplace enrollment verification

   Summarizes findings from a GAO undercover testing report involving federal and selected state marketplaces for coverage year 2015 and the broader compliance concerns raised.

3. Response from CMS and states

   Describes the general response to the GAO findings, including CMS’s explanation of its document review approach and states’ interest in tightening checks.