decisionhealth Newsletters, Part B News - 2015 Issue 6 (June)
Acceptance of claims increases during second CMS end-to-end testing week
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Article Overview
This piece reviews CMS testing activity related to the ICD-10 transition and explains how claims performed during the second end-to-end testing week. It is relevant to providers, billing staff, clearinghouses, and other stakeholders who monitor Medicare readiness, claim submission quality, and testing participation. The article covers acceptance rates, general categories of errors, and a systems issue identified during testing, along with the distinction between end-to-end and front-end testing.
Why This Topic Matters
CMS testing results can signal how well provider billing systems and Medicare processing are performing ahead of ICD-10 implementation. Understanding the broad types of errors and testing outcomes helps organizations gauge readiness and focus on operational validation.
What You Will Learn
- What CMS end-to-end testing is meant to evaluate
- How Medicare contractors performed during the reported testing week
- What broad categories of issues affected test claim acceptance
- How end-to-end testing differs from front-end testing
- Who participated in the testing process and why it matters for ICD-10 readiness
Who Should Read This
- Providers
- Billing agencies
- Clearinghouses
- Medical coders
- Revenue cycle staff
- Compliance teams
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