GOV­ERN­MENT

Modern Healthcare - - HEALTH IT -

The sec­ond round of glitches could come from the pay­ers— Medi­care, Med­i­caid and com­mer­cial— which im­ple­mented their own soft­ware ap­pli­ca­tions to han­dle the new codes.

The CMS last week in­sisted its claims-pro­cess­ing con­trac­tors were ready.

“We’ve tested and retested our sys­tems in an­tic­i­pa­tion of this day, and we’re ready to ac­cept prop­erly coded ICD-10 claims,” Sean Ca­vanaugh, di­rec­tor of the Cen­ter for Medi­care at the CMS, said in a blog post Thurs­day morn­ing wel­com­ing providers to ICD-10.

But, Ca­vanaugh says, even the CMS won’t know for sure how well the tran­si­tion to ICD-10 is go­ing for a while.

“Most providers batch their claims and sub­mit them ev­ery few days,” he said.

Even af­ter sub­mis­sion, Medi­care claims take sev­eral days to be pro­cessed, and Medi­care by law must wait two weeks be­fore is­su­ing pay­ment. Med­i­caid claims can take up to 30 days to be sub­mit­ted and pro­cessed by states.

By the end of Thurs­day, CMS spokes­woman Lau­ren Sha­ham said it was “busi­ness as usual with no re­ports of un­usual ac­tiv­ity at this time.”

But most Med­i­caid plans, in­clud­ing Molina, which has a siz­able pres­ence in Cal­i­for­nia, said they aren’t ex­pect­ing any is­sues.

“Our plans are ready for the con­ver­sion to ICD-10,” Jeff My­ers, pres­i­dent and CEO of Med­i­caid Health Plans of Amer­ica, said in a state­ment. “Not only is it man­dated, but the switchover will give them far bet­ter in­sight into care man­age­ment, which ul­ti­mately ben­e­fits the pa­tients they serve.”

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.