Health Information Management

ICD-10 countdown: Testing may offer a glimpse into the future

HIM-HIPAA Insider, November 10, 2014

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The new ICD-10 implementation date is less than a year away, and CMS is gearing up its end-to-end testing process in preparation.
CMS will select submissions from approximately 2,550 volunteers for three separate testing opportunities in January, April, and July 2015, and will make an effort to choose participants that represent a variety of provider, claim, and submitter types. MLN Matters SE1409 Revised states that the goal of the testing is to demonstrate the following:
  • Providers or submitters are able to successfully submit claims containing ICD-10 codes to the Medicare fee-for-service claims systems
  • CMS software changes made to support ICD-10 result in appropriately adjudicated claims (based on the pricing data used for testing purposes)
  • Accurate remittance advice is produced
Take action as early as possible regardless of whether your organization opts to test with CMS or another payer, says Barbara Hinkle-Azzara, RHIA, vice president of HIM operations at HRS Coding in Baltimore. Throughout the transition to ICD-10, organizations have made the mistake of assuming they will be able to test with payers only to find themselves left out because payers are only testing with a limited number of providers, she says.
Continue reading "ICD-10 countdown: Testing may offer a glimpse into the future" on the HCPro website. Subscribers to Medical Records Briefing have free access to this article in the November issue.


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