MGMA Fears 'Catastrophic Backlogs' From ICD-10 Testing Pullback

Greg Freeman , October 8, 2013

Still, healthcare providers are beginning to ­update their systems and perform their own testing. "This is a huge undertaking. They plan to test with every payer and every downstream system in an end-to-end format. CMS's announcement has gone ­significantly against the grain of this type of project ­approach," Hutchison says. "CMS is one of the largest payers for many ­organizations and independent practices across the country. If providers are performing testing with all their payers, there would be some significant discomfort with the fact that these organizations are unable to do end-to-end testing with a huge portion of their income."

Additionally, organizations around the country also want to ensure CMS is able to turn claims around quickly and provide the same level and speed of reimbursement they expect, she says.

"Organizations and providers alike are already ­worried about internal productivity and getting timely clean claims out the door with few denials," Hutchison says. "The unknown of a major payer being potentially unable to read/process a claim due to insufficient ­testing I'm sure weighs heavily."

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4 comments on "MGMA Fears 'Catastrophic Backlogs' From ICD-10 Testing Pullback"

Morgan Pile (10/11/2013 at 12:21 PM)
I have have been speaking about all the problems current and even yet to begin all around the world. I guess Americans will need to seek medicare treatments outside the US.

Lynn (10/10/2013 at 8:47 AM)
So...once again it's "do as I say, not as I do". Physicians are expected to be fully and completely compliant with moving targets, undefined, poorly defined and less than fully implemented requirements and mandates.

Frank Poggio (10/9/2013 at 3:48 PM)
...and when it bombs, as we all know it will, guess who they'll blame?




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