ICD-10 Healthcare Comparative Analytics - Request more infoICD-10 Claim Denials Management

Here we are, six months into the ICD-10 conversion.

While the headlines continue to trumpet “all is quiet” what is the real story?

We thought it would be interesting to take a look at this six-month period and compare it to a year ago. Below is a snapshot of our data for the last six months (Oct. 1, 2015 – March 31, 2016), which we compared to the same six-month period from the previous year (Oct. 1, 2014 – March 31, 2015) – the results are quite interesting:

  • By Type of Service Level I, denial rates appear to be down slightly.
  • Processing times are down.
  • And claims appear to be getting paid faster.

What we can conclude is that yes – all continues to be quiet with no major issues on the ICD-10 front. But the story that isn’t being told is that denial rates and processing times are down, and claims are getting out the door faster – which we would chalk up to being an overall improvement post-ICD-10.

What remains to be seen is how those may or may not change in October 2016, when the grace period ends. Stay tuned!
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