ICD-10 Preliminary Findings

After years of dramatic delays and debate, ICD-10 has officially taken effect. Based on preliminary results of billing ICD-10, ADVOCATE is finding payers acknowledging and accepting your claims without issues. We have had no front end rejections for using improper ICD-10 specificity or any systems ICD-10 related issues.  We are very early into the process so results are very preliminary.  We remain on high alert for any trends with payors.  Once we have more data we will provide further updates and analysis.

We have been made aware of some scattered industry reports of issues with certain software vendors and payors, but these issues appear to be the result of the submitter and not the software or payor overall. None of these issues have impacted ADVOCATE thus far. So far we have positive results submitting claims to all major payors, including Humana, Aetna, United Healthcare, Medicare(s), Medicaid(s) and BCBS(s).

Most Interesting Man-ICD10

Whether the ICD-10 transition remains rather anti-climactic or problems begin surfacing once payers begin processing and paying claims, remains to be seen. But at least for front-end claims activity the first two days are encouraging.

As always, ADVOCATE will keep you up to date on this and all issues impacting radiology as they become available.

Best regards,
Kirk Reinitz, CPA