Physician Practice

CMS: First round of ICD-10 end-to-end testing a success

Physician Practice Insider, March 10, 2015

CMS declared its end-to-end testing week from January 26 through February 3 a success. A total of 661 volunteers submitted 14,929 test claims, with CMS accepting 81% (12,149 claims).

CMS rejected 13% of the claims for reasons not related to ICD-10, such as:

  • Incorrect National Provider Identifier
  • Dates of service outside the range valid for testing
  • Invalid HCPCS codes
  • Invalid place of service

Three percent of claims contained an invalid ICD-9-CM and 3% had an invalid ICD-10-CM/PCS codes, leading CMS to reject the claims.

More than half (56%) of the claims fell under professional services and 38% were institutional claims. Suppliers submitted 6% of the claims. CMS identified no issues related to professional and supplier claims and stated that none of the claims were rejected because of front-end submission problems.

CMS did find one system issue related to institutional claims, but it affected fewer than 10 total claims. It will fix the problem before the next end-to-end testing week April 26–May 1.

Despite this success, the American Health Information Management Association (AHIMA) has learned that Chairman of the House Rules Committee Pete Sessions, R-Texas, is looking to draft language to delay ICD-10. The chairman is seeking support from his colleagues in Congress, according to an email from Margarita Valdez, senior director of Congressional relations for AHIMA.

While Sessions is speaking with physicians about their concerns regarding ICD-10 implementation, he has not drafted legislation regarding a delay, according to a government source.

AHIMA is urging HIM professionals to call Rep. Michael Burgess, R-Texas, at (202) 225-7772 and Rep. Sessions at (202) 225-2231 and state that they support ICD-10 implementation in 2015. Here are some talking points from AHIMA:

To read more, visit the ICD-10 Trainer blog.

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