decisionhealth Newsletters, Part B News - 2015 Issue 10 (October)
ICD-10 update: Some hit snags, others sail; all wait for processed claims
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Article Overview
This article reviews early experiences after the ICD-10 transition across practices, billing teams, clearinghouses, and revenue cycle organizations. It focuses on operational readiness, coder productivity, claim submission and rejection patterns, and general transition management guidance for providers and billing staff. The piece is relevant to practices monitoring ICD-10 implementation and reimbursement workflow impacts.
Why This Topic Matters
It helps readers understand how the ICD-10 transition was affecting real-world billing operations, claims processing, and productivity, and highlights the kinds of operational issues organizations were watching during the first weeks of implementation.
Article Sections
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Mixed ICD-10 transition experiences
Early reports from practices and clinicians describing broadly different levels of readiness and workflow impact during the transition period.
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ICD-10 transition leaves some ‘in tears’
Accounts of practices facing staffing strain, system delays, and backlog pressure as they adapted to the new code set.
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What’s slowing coder productivity
General discussion of the types of ICD-10-related coding questions and operational bottlenecks that can affect turnaround time.
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Volume of ICD-10 claims low; real test coming
Observations from a clearinghouse and related vendors on claim volume, acceptance patterns, and the timing of the first post-transition tests.
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3 tips for week 2
Broad transition guidance focused on finding support, monitoring denials, and avoiding overreliance on temporary flexibility during the rollout.
What You Will Learn
- How organizations were experiencing the early ICD-10 transition
- What kinds of workflow and productivity issues were being reported
- How claim volumes and rejections were being monitored during implementation
- What general transition-management themes were being emphasized for coders and billing teams
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice managers
- Compliance staff
- Healthcare administrators
Codes Discussed
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