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How to Get Help with ICD-10 Claim Denials

How to Get Help with ICD-10 Claim Denials
11/11/2015

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Was ICD-10 all “much ado about nothing?” The Centers for Medicare & Medicaid Services (CMS) says it’s still too early to determine. Initial statistics about ICD-10 claim denials are encouraging, with CMS only reporting a 10% denial rate out of 4.6 million daily October claims. Two percent were rejected due to incomplete or invalid information and 0.09% due to invalid ICD-10 codes. However, providers are still advised to reach out with any ICD-10 issues.

For clarification of claim denials due to ICD-10 coding issues, it’s recommended to contact CMS immediately. Finding out the problem right away can help you solve it earlier and prevent your cash flow from suffering. 
 
CMS resources for ICD-10 claim denial help:

 


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