Posted in ICD-10 & Coding

ICD-10 denials may be lower than ICD-9 denials

Carl Natale
by Carl Natale
ICD-10 denials may be lower than ICD-9 denials

RemitData has released some data that shows the denied rates for certain services is mostly down since a year ago.

That's mostly because their data says that the denied rate for tests was at 17.8 percent (Oct. 1, 2014 - March 31, 2015) and ticked up to 18.2 percent (Oct. 1, 2015 - March 31, 2016). Other categories showed denied rates had decreased slightly in the same period.

Except earlier data showed denial rates increasing between Oct. 1, 2015, and March 31, 2015:

RemitData also released some data that suggests that medical claim processing is speeding up:

Data as of March 31, 2016

Which looks great. Six months of ICD-10 data shows remittance is getting more efficient.

Except maybe not. RemitData showed us some data earlier that suggested while ICD-10 processing seemed faster than ICD-9 processing, ICD-10 processing was slowing down. Consider this chart shown earlier in the year:

Evaluating Payment Velocity for Q4 2015

So far, it looks like ICD-10 denials and remittance velocity may be better than it was with ICD-9 coding. It depends on how we slice the data. But that may change soon. We need more trending data.