CMS Final end-to end Testing Complete on ICD-10

by  Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Aug 28th, 2015

Here we go! CMS has released the End-To-End testing results and they are ready to accept your ICD-10-CM/PCS claims.  They announced they had an 87% acceptance rate, stating “Most rejects were the result of provider submission errors in the testing environment that would not occur when actual claims are submitted for processing”.

CMS stated there were no new ICD-10 related issues in any of the Medicare Fee-For-Service claims processing systems and no rejects due to front end CMS systems issues.

Any issues they encountered in the last end-to-end testing which was in July 2015, were resolved before this last testing began.

Below are the results of the last end-to-end testing on the 29,286 test claims received.

•25,646 test claims accepted

•87% acceptance rate

•1.8%of test claims were rejected due to invalid submission of ICD-10 diagnosis or procedure code

•2.6% of test claims were rejected due to invalid submission of ICD-9 diagnosis or procedure code

Be Prepared - You cant Delay it any longer

ICD-10-CM and PCS is required on all claims with the date of service after October 1, 2015

There is a huge misconception that the codes are just changing and ICD-9 will map to a new ICD-10 code.  This is very misleading and not the case at all. 

• Do you firmly understand GEMS Mapping and the Tabular Index? 
• Do you know what a complete code looks like? 
• Do you understand the concepts of the new documentation required?

If you answered NO to any of these questions, you may be in trouble come October 1st.

There is still time and plenty of help available, for example; Find-A-Code has several tools to help you with your transition, visit Findacode.com and start your FREE 28 day trial, the pricing starts at $4.95/Month. 

InstaCode Institute has prepared over 30 Speciality Specific books and a Guide to help prepare Practice Mangers and Billers with ICD-10-CM. 

Visit  Find-A-Code to start your 28-Day FREE trial or visit the store at InstaCode Institute to order your books.  These books have more complete ICD-10-CM information than any book on the market.