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ICD-10 Progress Report by CMS

November-2015

The CMS (Centers for Medicare and Medicaid Services) on 29th Oct released data of claims submitted to them and explained how smooth the transition from ICD-9 to ICD-10 (International Classification of Diseases, 10th Revision) coding was. The ICD-10 coding was brought into effect from 1st of October leaving behind the old ICD-9 coding system.

Metrics	October 1-27	Historical Baseline
Total Claims Submitted	4.6 million per day	4.6 million per day
Total Claims Rejected due to incomplete or invalid information	2.0% of total claims submitted	2.0% of total claims submitted
Total Claims Rejected due to invalid ICD-10 codes	0.09% of total claims submitted	0.17% of total claims submitted
Total Claims Rejected due to invalid ICD-9 codes	0.11% of total claims submitted	0.17% of total claims submitted
Total Claims Denied	10.1% of total claims processed	10% of total claims processed

NOTE: Metrics for total ICD-9 and ICD-10 claims rejections were estimated based on end-to-end testing conducted in 2015 since CMS has not historically collected this data. Other metrics are based on historical claims submissions.

Time period for this brief public metrics is from Oct. 1-27. The highlight of this 4 week study is the percentage of claims rejected due to incomplete or invalid information compared to historical baseline; both stands at 2%.

Source: http://www.healthdatamanagement.com/news/CMS-Issues-ICD-10-Progress-Report-51477-1.html

For more information on ICD-10, visit our ICD-10 Services Page.

Chris Peters
AVP - Corporate Communications
chris@promantra.us
Phone: +1-732-414-3678

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