ICD:10 Testing: Not a Last-Minute Job

Although TMA, the American Medical Association, and other physician groups continue to push for a last-minute reprieve from the Oct. 1, 2015, ICD-10 implementation date, ignoring this impending sea change in coding and documenting your services could be disastrous for your practice.

If you haven't already, it's time to get serious about assessing what you need to do, making a plan, and learning how to use the codes that apply to your practice. 

And this is important: You need to allow time in your plan for testing claims so you can work out the kinks and have smooth sailing with your vendors and payers after Oct. 1.

All Medicare physicians can conduct acknowledgement testing at any time with Novitas Solutions, the Medicare administrative contractor for Texas; see this FAQ article about testing. The goal of acknowledgement testing is to submit claims with ICD-10 codes to the Medicare claims systems and receive acknowledgements to confirm that your claims were accepted or rejected.

CMS also has been conducting a series of end-to-end tests, processing professional, supplier, and institutional claims through all Medicare system edits to produce and return an accurate electronic remittance advice. Following its most recent test, April 27- May 1, CMS reported no front-end problems with its systems for professional claims. However, the overall acceptance rate for all claims tested was only 88 percent, for a variety of reasons.

To keep abreast of the latest information and resources from payers about their ICD-10 readiness and policies, visit:

TMA can help with the following:

  • TMA's ICD-10 Resource Center for tools and information.
  • On-demand webinars to help you get your transition fully underway.
  • Self-paced, specialty-specific webinars.
  • Live seminars: ICD-10 Essentials: Two seminars in one day. In Essentials in ICD-10 Coding and Auditing, staff can perfect their new coding and auditing skills with hands-on exercises using ICD-10. In Essentials in ICD-10 Documentation, physicians can find out how to change their documentation to support increased code specificity and set up their coders for success. Aug.4 through Sept. 16 in cities around the state. Registration is open.
Take an industry-wide readiness assessment survey! The Workgroup for Electronic Data Interchange (WEDI), a nonprofit authority on the use of health information technology to create efficiencies in health care information exchange, has opened up its latest ICD-10 readiness survey to determine how well the health care industry is progressing towards the Oct. 1, 2015, implementation deadline. WEDI will evaluate and compile the results into a report for the industry. The deadline to take the survey is July 10, 2015.

Published June 11, 2015

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Last Updated On

December 19, 2016