CMS has held steadfast to their March 3-7 “testing period” in which providers and clearinghouses should submit their claims utilizing the newly mandated ICD-10 coding to CMS, in order to determine whether CMS can “accept” the claims.  However, the industry per-se, has voiced increasing concerns that this testing is not enough.  Providers need to know the claims they submit during this testing period can actually be processed AND paid timely.

On February 19, 2014, CMS released their announcement of end-to-end testing, as follows:

“In summer 2014, CMS will offer end-to-end testing to a small sample group of providers. Details about the end-to-end testing process will be disseminated at a later date.

“End-to-end testing includes the submission of test claims to CMS with ICD-10 codes and the provider’s receipt of a Remittance Advice (RA) that explains the adjudication of the claims. The goal of this testing is to demonstrate that:

* “Providers or submitters are able to successfully submit claims containing ICD-10 codes to the Medicare FFS claims systems;

* “CMS software changes made to support ICD-10 result in appropriately adjudicated claims (based on the pricing data used for testing purposes); and

* “Accurate RAs are produced.

“The small sample group of providers who participate in end-to-end testing will be selected to represent a broad cross-section of provider types, claims types and submitter types.

“If you have any questions, please contact your MAC at their toll-free number, which may be found at http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map/index.html on the CMS Web site.”

Are you ready for ICD.10?  MBO is.

Will you be participating in the testing period March 3-7?  MBO will.

 

Don’t wait until the last minute and risk delayed reimbursement on your claims.  Let MBO take over the technical portion of this conversion.  Call Debbie Campbell at 573-634-7155 to discuss how MBO makes it possible for you to provide excellent patient care without the worries of how to get paid for it.