AANEM News Express

AANEM News Express

ICD-10 Testing With CMS

3/10/2015
 
ICD-10 testing can be the key to success during the transition from ICD-9. The Centers for Medicare and Medicaid Services (CMS) offers two types of testing for providers:

Acknowledgement Testing allows providers, billing companies, and clearinghouses the opportunity to determine whether CMS will be able to accept their claims with the ICD-10 codes. This testing can be performed at any time or during targeted testing weeks. All electronic submitters are eligible to participate, and no registration is required. The next targeted testing week is scheduled for June 1-5, 2015. Submitting during special acknowledgement testing weeks give submitters access to real-time help desk support and allows CMS to analyze testing data.

End-to-End Testing allows providers to submit ICD-10 test claims that will be fully processed and produce a Remittance Advice (RA). Up to 850 providers will have the opportunity to participate during each test week. The goal of this testing is to demonstrate that providers and submitters are able to successfully submit claims containing ICD-10 codes to the Medicare FFS claims system, CMS software changes made to support ICD-10 result in appropriately adjudicated claims, and that accurate RAs are produced. Registration is required for end-to-end testing, and 50 volunteers will be chosen by each Medicare Administrative Contractor (MAC) to participate in each testing week. Volunteers who are chosen will be allowed to submit 50 test claims during the testing week. Registration will be open on the MAC and the Common Electronic Data Interchange (CEDI) websites, March 13- April 17, 2015, for testing dates July 20-24.

Individual third-party payers may also offer testing for ICD-10 to those entities submitting claims. Check with payers used most commonly in your area to find out if they offer ICD-10 claims testing.


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  Coding


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