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ICD-10 Transition Stories

The Coalition for ICD-10 has worked to gather organizations’ actual ICD-10 transition experiences. Experiences such as claims processing, systems issues (or non-issues), how quickly any identified problems have been resolved, actual impact on coding productivity and how any declines in productivity are being addressed, etc.

In our transition from ICD-9 to ICD-10 we had a few glitches. One of our screening codes was denied, but there was a better one to replace it. We were watching for denials of codes with .9 or unspecified, and received a couple claims back which were fixed immediately. There have been no code problems with diagnostic tests or prescription authorizations. Our Medicare carrier delayed checks until the end of October. While at a PAHCOM conference in late October I questioned other managers who stated that they were receiving Medicare checks earlier in the month with ICD-10 codes. My physicians were hesitant at first with the changes because we are non- EMR, but are now comfortable. Since the end of October it has been smooth sailing.

Rebecca Moore, CMM
Practice Administrator
Gastrointestinal Associates, P.C.
Washington, D.C.