New ICD-10 Guidance to Prepare for Final Medicare Testing Week
The Centers for Medicare and Medicaid Services has issued updated guidance as the last week to conduct ICD-10 end-to-end testing with MedicareJuly 20-24approaches.
The Centers for Medicare and Medicaid Services has issued updated guidance as the last week to conduct ICD-10 end-to-end testing with MedicareJuly 20-24approaches.
The guidance also covers ICD-10 acknowledgement testing, which can done at any time with an organizations Medicare contractor and no registration is required. Acknowledgement testing is done to confirm that an insurer received properly coded ICD-10 claims.
Also See: AHIMA Campaign Targets ICD-10 Grace Period Bill
End-to-end testing is more comprehensive as the goal is to properly adjudicate claims and send accurate remittance advice back to the provider. Here are key end-to-end testing takeaways from CMS:
* End-to-end testing is available to Medicare FFS direct submitters, Direct Data Entry submitters who receive an electronic remittance advice, claims clearinghouses and billing agencies.
* Volunteers must register on the website of their Medicare contractor during specified periods. Fifty testers will be selected per contractor and those selected may submit up to 50 test claims.
* When submitting test claims, include test indicator T in the ISA15 field or through Direct Data Entry.
* 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, 2015 and Oct. 15, 2015 for Supplier claims; and Dates up to Dec. 31, 2015 for Professional and Institutional claims.
* Claims submitted for end-to-end testing process also will be subject to all National Coverage Determinations and Local Coverage Determinations.
* Remittance advice generated following testing will reflect current year pricing.
The complete guidance is available here.
The guidance also covers ICD-10 acknowledgement testing, which can done at any time with an organizations Medicare contractor and no registration is required. Acknowledgement testing is done to confirm that an insurer received properly coded ICD-10 claims.
Also See: AHIMA Campaign Targets ICD-10 Grace Period Bill
End-to-end testing is more comprehensive as the goal is to properly adjudicate claims and send accurate remittance advice back to the provider. Here are key end-to-end testing takeaways from CMS:
* End-to-end testing is available to Medicare FFS direct submitters, Direct Data Entry submitters who receive an electronic remittance advice, claims clearinghouses and billing agencies.
* Volunteers must register on the website of their Medicare contractor during specified periods. Fifty testers will be selected per contractor and those selected may submit up to 50 test claims.
* When submitting test claims, include test indicator T in the ISA15 field or through Direct Data Entry.
* 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, 2015 and Oct. 15, 2015 for Supplier claims; and Dates up to Dec. 31, 2015 for Professional and Institutional claims.
* Claims submitted for end-to-end testing process also will be subject to all National Coverage Determinations and Local Coverage Determinations.
* Remittance advice generated following testing will reflect current year pricing.
The complete guidance is available here.
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