E/M Coding Alert - 2014 Issue 7
ICD-10: CMS to Offer 'End-to-End' ICD-10 Testing This Summer
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Article Overview
This article covers CMS’s ICD-10 readiness update, including testing opportunities for providers, MAC participation, and the agency’s plans for more comprehensive end-to-end testing later in the year. It is relevant for practices, billing teams, clearinghouses, vendors, and other stakeholders preparing for ICD-10 claim submission and processing.
Why This Topic Matters
The article helps healthcare organizations understand current CMS testing options and the broader operational steps involved in preparing systems and workflows for ICD-10 claims processing.
Article Sections
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No Change in Date
CMS reiterates its timeline for ICD-10 readiness and discusses collaboration with external stakeholders. The section also notes internal systems preparation and testing activity.
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Prep Now for Upcoming Testing
This section explains upcoming provider testing opportunities with MACs, including registration, private testing options, and general claim-response timing during the testing period. It also covers basic limitations and conditions for test submissions.
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Look for New 'End-to-End' Testing
CMS outlines a later testing initiative designed to evaluate a more complete claims workflow. The section describes the broader participation scope, selection timing, and the use of current pricing files during the test.
What You Will Learn
- What CMS communicated about ICD-10 readiness and testing plans
- How provider testing with MACs is being organized
- What distinguishes broader end-to-end testing from standard claim testing
- Which stakeholder groups are involved in ICD-10 transition planning
Who Should Read This
- Physician practices
- Billing staff
- Coders
- Clearinghouses
- Billing agents
- Healthcare IT vendors
- MAC participants
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