Health Information Management

News: CMS conducts second successful end-to-end testing week

CDI Strategies, June 11, 2015

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CMS is calling the completion of their second ICD-10 end-to-end testing week a success.

From April 27 through May 1, 2015, 875 participants submitted 23,138 test claims, of which 20,306 (88%) were accepted by CMS. The acceptance rate for this testing period was higher than in January, CMS said in a statement, with an increase in test claims submitted and a decrease in errors related to diagnosis codes. CMS rejected only 2% of claims for an incorrect ICD-10 code, and less than 1% for an incorrect ICD-9-CM code. In January, CMS rejected 3% of claims for incorrect ICD-10 codes and 3% of claims for incorrect ICD-9-CM codes. 

CMS rejected the remaining claims due to incorrect National Provider Identifiers, Health Insurance Claim Number, or Submitter ID; dates of service outside the range valid for testing; invalid HCPCS codes; and invalid place of service. CMS reported similar errors in the January testing period. View the rest of the results here.

What does this mean for CDI? CMS says it should serve as a reminder to prepare now for ICD-10. Remember, Medicare claims with a date of service on or after October 1, 2015, will be rejected if they do not contain a valid ICD-10 code.

A final end-to-end testing week will be held on July 20 through July 24. The opportunity to volunteer for this testing week has closed. Those who participated in January and April are automatically eligible to test again in July. In addition, acknowledgement testing can be completed at any time.

Editor’s Note: Portions of this article were compiled from the JustCodingblog.

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