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.”