ICD-10: What’s Next?

ICD-10 is here. Prior to go-live, ADVOCATE participated in all available testing and all systems were tested to make sure they were ICD-10 compliant. We will continue to thoroughly review all systems and reporting to and from carriers/clearinghouses to ensure all your claims are being processed correctly. ADVOCATE will be providing clients with reporting to track front end edit issues and denials post October 1, 2015 to fast track solutions to any ICD-10 reimbursement issues. We will begin providing feedback as soon as we begin to receive reliable data.

ADVOCATE understands the impact this transition has on your practice and our team is 100% focused on assisting you in your ICD-10 implementation, while resolving concerns together as quickly as possible.


Also, CMS has released their internal ICD-10 Contingency Plan. The plan focuses on identifying various situations that CMS believes could occur and what actions would need to be taken should these circumstances arise, including scenarios such as the Medicare system works, but provider system failures prevent claims submissions; Medicare systems fail and reject correctly coded ICD-10 claims; or providers are permitted to submit Medicare claims using ICD-9 codes. A full copy of this document is available here.

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