decisionhealth Newsletters, Part B News - 2014 Issue 3 (March)
Apply for end-to-end testing
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Article Overview
This article covers CMS end-to-end testing for Medicare submitters, including how the testing window is structured, how participation is limited by MAC selection, and why practices and clearinghouses need to coordinate early. It is relevant to providers, billing teams, clearinghouses, and other organizations involved in Medicare claims testing and ICD-10 readiness. The piece also notes CMS communication, contractor implementation differences, and the significance of these testing timelines for organizations planning to participate.
Why This Topic Matters
It helps practices and billing organizations understand whether they may be eligible for Medicare testing, when applications are due, and why coordination with contractors or clearinghouses matters during ICD-10 preparation.
Article Sections
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CMS end-to-end testing overview
Introduces the Medicare testing opportunity, the publication timing, and the general purpose of the testing period.
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Participation limits and application process
Summarizes how participation is limited, who may apply, and the key application and notification dates.
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Contractor differences and provider coordination
Describes how contractors may interpret CMS guidance differently and why providers may need to work through clearinghouses or MACs.
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ICD-10 readiness concerns and expected value of testing
Discusses provider readiness concerns, the broader ICD-10 context, and the limited but practical value of the testing effort.
What You Will Learn
- How CMS structured the end-to-end Medicare testing window
- What types of organizations may be involved in the testing process
- Why contractor and clearinghouse coordination may affect participation
- How the article frames testing in the context of ICD-10 preparedness
Who Should Read This
- Physician practices
- Billing and revenue cycle staff
- Clearinghouses
- Medicare claims submitters
- Health information management professionals
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