7 Tips from CMS as Final ICD-10 Testing Week Approaches

7 Tips from CMS as Final ICD-10 Testing Week Approaches 7 Tips from CMS as Final ICD-10 Testing Week Approaches

From July 20 to 24, Medicare will conduct its last week of ICD-10 end-to-end testing before the October 1 compliance deadline. Here are key end-to-end testing takeaways from CMS. (Photo: Fotolia)

Two Tests Two Tests

There are two types of ICD-10 tests involving insurers. One is acknowledgement testing, to confirm that an insurer received properly coded claims this can be done anytime with a Medicare contractor, with no registration required. The other is end-to-end testing, which is more comprehensive the goal is to properly adjudicate claims and send accurate remittance advice back to the provider. (Photo: Fotolia)

 Availability Availability

End-to-end testing July 20-24 is available to Medicare fee-for-service direct submitters, Direct Data Entry submitters that receive an electronic remittance advice, claims clearinghouses and billing agencies. (Photo: Fotolia)

Register Register

Volunteers must register on the website of their Medicare contractor during specified periods. Fifty testers will be selected per contractor; those selected may submit as many as 50 test claims. (Photo: Fotolia)

Important Step Important Step

When providers submit test claims, they should include the test indicator T in the ISA15 field or through Direct Data Entry. (Photo: Fotolia)

Dating Claims Dating Claims

Tests must use future dates of service during end-to-end testing: Dates of service on or after Oct. 1, 2015, for professional claims; discharge dates on or after Oct. 1, 2015, for inpatient claims; dates of service between Oct. 1 and 15, 2015, for supplier claims; and dates up to Dec. 31, 2015, for professional and institutional claims.

Other Rules Apply Other Rules Apply

Claims submitted for end-to-end testing process also will be subject to all national coverage determinations and local coverage determinations.

Learning the Payment Learning the Payment

Remittance advice generated after testing will reflect current year pricing.

Thank You Thank You

The complete CMS guidance is available here. (Photo: Fotolia)

From July 20 to 24, Medicare will conduct its last week of ICD-10 end-to-end testing before the October 1 compliance deadline. Here are key end-to-end testing takeaways from CMS.

 

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