CMS Releases ICD-10 Medicare Testing Round Results, New Guidance

December 23, 2014 in News

On Monday, CMS announced that the agency accepted 76% of claims sent during a week-long ICD-10 acknowledgement test period conducted last month, EHR Intelligence reports.

U.S. health care organizations are working to transition from ICD-9 to ICD-10 code sets to accommodate codes for new diseases and procedures by Oct. 1, 2015 (Murphy, EHR Intelligence, 12/23).

Test Period Details

The testing periods are designed for providers to test whether ICD-10 codes submitted to Medicare will be accepted by the program (Gold, “Morning eHealth,” Politico, 12/23). 

The testing ran during the week of Nov. 17, during which more than 500 participants — including billing companies, clearinghouses, providers and suppliers — submitted about 13,700 claims.

CMS said that acceptance rates for the claims improved throughout the week, with the acceptance rate for Friday reaching 87% (EHR Intelligence, 12/23). The agency said that some of the submitted claims included deliberate errors to test whether the claims would be rejected by CMS (“Morning eHealth,” Politico, 12/23).

Overall, CMS said that testing “did not identify any issues with the Medicare [fee-for-service] claims systems” (EHR Intelligence, 12/23).

New ICD-10 Guidance

Meanwhile, CMS on Friday released new guidance for stakeholders on volunteering for Medicare’s end-to-end testing and preparing claims for such testing, Health Data Management reports (Goedert, Health Data Management, 12/19).

CMS said that all electronic submitters could take part in acknowledgement testing to verify that ICD-10 claims sent to Medicare are accepted. However, the end-to-end testing would be limited to a smaller subgroup of stakeholders who volunteer and are subsequently accepted (Bowman, FierceHealthIT, 12/19).

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