decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 3 (March)
Take advantage of 4 lessons practices learned during ICD-10 Testing Week
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Article Overview
This article reviews lessons practices reported during CMS ICD-10 Testing Week and explains why those experiences matter for organizations preparing for the ICD-10 transition. It focuses on general readiness topics such as claims transmission, software and EHR compatibility, payer-specific testing, documentation preparation, clearinghouse participation, and Medicare testing and coverage resources. It is aimed at billing, coding, revenue cycle, compliance, and clinical documentation teams looking for implementation guidance rather than code-level instruction.
Why This Topic Matters
Successful ICD-10 implementation depends on coordinated technical, billing, and documentation readiness. The article highlights practical preparation areas that can affect claim acceptance, workflow testing, staff training, and use of Medicare resources.
Article Sections
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Testing week overview and reported challenges
Introduces the CMS testing week context and the kinds of system and workflow issues practices reported while preparing for the ICD-10 transition.
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Check for software errors
Discusses software-related testing concerns and how practices evaluated claim transmission behavior during ICD-10 preparation.
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Test similar claims across payers
Covers payer-specific testing considerations and the need to verify claim handling across different payment environments.
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Advance prep is key to successful transmission of dual codes
Addresses advance planning for date-of-service workflows, claim form output, and broader systems testing.
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Build a library of documentation checklists for clinicians
Describes documentation education approaches, provider-facing materials, and training resources used to support ICD-10 readiness.
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See whether clearinghouse is testing
Explains end-to-end testing participation considerations, including coordination with clearinghouses and Medicare contractors.
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LCDs with ICD-10 codes may help
Reviews coverage-policy resources and local determination materials that may support documentation review and training.
What You Will Learn
- How practices used testing week to evaluate ICD-10 readiness
- What types of technical and workflow issues surfaced during claim testing
- Why payer-specific and end-to-end testing matter for implementation planning
- How documentation support materials can be organized for provider education
- Which Medicare resources were highlighted as helpful for preparation
Who Should Read This
- Medical billers
- Coders
- Revenue cycle staff
- Compliance teams
- Clinical documentation improvement staff
- Practice administrators
- Healthcare IT and EHR support teams
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