CMS Seeks Volunteers for Limited ICD-10 End-to-End Testing

The Centers for Medicare and Medicaid Services is seeking volunteer organizations for limited end-to-end testing for ICD-10 claims slated to begin in January 2015. Those wishing to volunteer for the testing must apply by Oct. 3 and will be notified of their selection by Oct. 24.


The Centers for Medicare and Medicaid Services is seeking volunteer organizations for limited end-to-end testing for ICD-10 claims slated to begin in January 2015. Those wishing to volunteer for the testing must apply by Oct. 3 and will be notified of their selection by Oct. 24.

For the January 26-30 testing period, a sample of 50 volunteer participants for each Medicare Administrative Contractor (MAC) will be selected to “represent a broad cross-section of provider, claims and submitter types,” according to CMS. Volunteers may be a clearinghouse, billing agency, or professional or institutional provider that submits directly to Medicare.

The purpose of the testing is to demonstrate that organizations are able to successfully submit ICD–10 claims to the shared systems and that software changes made to support ICD–10 result in appropriately adjudicated claims based on the pricing data used for testing.

During the limited end-to-end testing, each selected submitter will be able to send a maximum of 50 test claims over the course of the test week. Test claims submitted with future service dates--October 1, 2015 through October 15, 2015--that are accepted into the system will be processed by the MAC and remittance advice will be generated.

Volunteers must be established electronic submitters, with active Medicare submitter IDs, and capable of receiving electronic remittance advices to be eligible for this testing. Additional information about the minimum testing requirements and the volunteer form for the limited ICD-10 end-to-end testing can be found here.

CMS had planned to conduct this type of ICD-10 testing with MACs during the week of July 21-25, 2014, for a similar sample group of providers. But, the July testing was canceled in May due to the ICD-10 implementation delay signed into law in April by President Obama. CMS subsequently issued a final rule establishing October 1, 2015, as the new ICD-10 compliance date and the continued use of ICD-9-CM through September 30, 2015.

In related news, CMS last month announced three separate weeks of ICD-10 acknowledgement testing to allow providers, suppliers, billing companies and clearinghouses the opportunity to determine whether CMS will be able to accept their claims with the new codes. The three weeks of testing are: November 17-21, 2014; March 2-6, 2015; and June 1-5, 2015.

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