Medicare Compliance & Reimbursement - 2014 Issue 9
ICD-10: Oct. 2015 Finish Line Set: Crank Up Your ICD-10 Training, Prep Now for ICD-10 Testing
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Article Overview
This article explains how CMS was preparing for ICD-10 implementation and describes the major testing activities available to Medicare fee-for-service stakeholders. It is relevant to providers, billing companies, clearinghouses, and other organizations that needed to assess system readiness, understand the general testing timeline, and follow CMS guidance tied to the transition.
Why This Topic Matters
The piece helps readers understand the scope of CMS testing efforts and the kinds of readiness activities being emphasized before ICD-10 went into effect. It matters for organizations that needed to prepare workflows, systems, and claim submission processes for Medicare-related testing and transition planning.
Article Sections
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CMS stands firm on 2015 date
Discusses the implementation timeline and the context surrounding CMS’s announced effective date for ICD-10. It also frames the article’s focus on readiness planning for the transition.
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Heads Up: 4-Pronged Testing Ahead
Introduces CMS’s broad testing approach for ICD-10 readiness. The section outlines the major testing categories used to support Medicare fee-for-service preparation.
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1. CMS internal testing of its claims processing systems
Covers CMS’s internal testing activities for Medicare claims processing systems. It describes the general testing structure and ongoing system validation efforts tied to quarterly releases.
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2. Provider-initiated beta testing tools
Reviews CMS-provided testing resources intended for external users. The section focuses on software tools and reference materials that support provider system readiness.
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3. Acknowledgement testing
Explains the acknowledgement testing opportunities available to submitters before implementation. It describes the timing, participants, and general purpose of this testing category.
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4. End-to-end testing
Summarizes CMS’s end-to-end testing opportunities and the kinds of participants involved. The section addresses the broader aim of confirming Medicare claim handling during the transition.
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Don’t miss
Provides a final caution about the scope of the testing programs and their limitations. It notes that the activities discussed are tied to Medicare and do not automatically extend to other payers.
What You Will Learn
- How CMS structured its ICD-10 readiness testing approach
- What types of Medicare fee-for-service testing activities were being offered
- Which stakeholder groups were encouraged to participate in readiness testing
- How CMS framed the relationship between testing and implementation preparedness
- What limitations were noted about Medicare-only testing efforts
Who Should Read This
- Providers
- Billing companies
- Clearinghouses
- Medicare fee-for-service stakeholders
- Health information management professionals
- Coding professionals
Codes Discussed
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