decisionhealth Newsletters, Part B News - 2015 Issue 4 (April)
CMS: March testing shows readiness for ICD-10; date errors dropped from results
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Article Overview
This article covers CMS’s March acknowledgment testing results related to ICD-10 claim submission readiness for Medicare providers and contractors. It is relevant to billing, coding, and revenue cycle staff who want to understand the kinds of submission and processing issues identified during testing, the general direction of testing performance, and the types of claim data CMS expects in the test environment.
Why This Topic Matters
The article helps readers gauge Medicare’s readiness for ICD-10-era claim transactions and understand the kinds of data quality problems that can affect claims during testing. It is useful for organizations preparing staff and systems for compliant submission workflows.
Article Sections
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CMS acknowledgment testing results
Summarizes the latest Medicare acknowledgment testing activity and overall findings reported by CMS. It compares the testing round with prior testing periods at a high level.
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Submission errors identified during testing
Describes the broad categories of submission problems observed in the test claims environment. The section focuses on data validation issues and system-side observations.
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Requirements for successful acknowledgment test claims
Outlines the general information CMS expects to be present for test claims to move through acknowledgment testing appropriately. It also notes the next testing window and the broader context of ICD-10 preparation.
What You Will Learn
- How CMS evaluated Medicare acknowledgment testing for ICD-10 readiness
- What broad types of claim submission errors were seen in testing
- What general claim data elements CMS emphasized for test submissions
- How acknowledgment testing differs from broader end-to-end testing
- When the next acknowledgment testing window was scheduled
Who Should Read This
- Medical coders
- Billing staff
- Claims processing staff
- Revenue cycle managers
- Compliance staff
- Practice administrators
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