MACs may not test ICD-10 with providers; experts say make other plans

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains how CMS and Medicare contractors were approaching ICD-10 testing ahead of the compliance deadline and why providers were being advised to seek other testing arrangements. It is relevant to healthcare providers, billing and compliance staff, IT teams, clearinghouses, and coding professionals who needed to understand the testing landscape, external pilot opportunities, and coordination with payers and vendors.

Why This Topic Matters

Testing readiness affected whether claims systems, trading partners, and billing workflows could handle ICD-10 changes before implementation. The article helps readers identify alternative testing channels and understand the role of CMS, MACs, clearinghouses, and industry pilot programs in transition planning.

Article Sections

  1. CMS stance on ICD-10 testing

    Summarizes CMS communications about testing with providers and the general position of Medicare contractors. The section focuses on the broader testing environment and implementation timing.

  2. Views from contractors and providers

    Describes reactions from MACs, CMS staff, and provider representatives regarding external testing. It highlights differing expectations about how testing would be coordinated.

  3. Alternative testing options

    Covers other ways organizations could prepare for ICD-10 through pilots, collaboratives, vendors, and clearinghouses. The section also notes industry programs and shared testing resources.

What You Will Learn

  • How CMS and Medicare contractors were approaching ICD-10 testing
  • Why providers were being encouraged to find non-MAC testing partners
  • What kinds of pilot and collaborative testing opportunities were available
  • How industry groups and vendors were supporting ICD-10 readiness
  • What resources were being shared for broader test preparation

Who Should Read This

  • Healthcare providers
  • Medical billers and coders
  • Revenue cycle staff
  • Compliance professionals
  • Health IT staff
  • Clearinghouses
  • Payer relations teams

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