The news that CMS will be conducted a limited amount of ICD-10 end-to-end testing this summer was greeted with widespread approval, but also generated a number of new questions. Who will be selected for the test? How comprehensive will it be? When will the rest of the industry get to see the results? CMS is answering at least some of those questions in a new MLN Matters Article that details what the testing will include and how providers can enter to be one of the lucky few to experience the process first hand. Here’s what you need to know:
When will it happen?
The limited end-to-end testing period is currently slated for July 21 to July 25, 2014.
What will happen?
Each Medicare Administrative Contractor (MAC) will select 32 organizations to participate in the testing process. The organizations will be randomly selected, but the makeup of the group won’t be completely left up to chance. At least five of the testers will be clearinghouses, and the rest will be a mix of provider types. The lucky few will be given more detailed instructions on how to submit test claims, but the number of claims involved in the program will be small. No more than a total of 50 claims per provider, submitted in no more than three files, will be put through the wringer.
Providers will be directed to submit ICD-10 test claims with dates of service October 1, 2014 through October 15, 2014. Providers can also submit ICD-9 claims for testing if they are dated earlier than October 1, 2014. The MACs will provide extra phone support for testers calling in with questions during and after the testing period.
How can I get involved?
If you want to be considered for participation, fill out the volunteer form on the CEDI website, located here. The form must be completed by March 24, 2014.
Minimum testing requirements include being an active CEDI trading partner that is capable of receiving electronic remittance advices (ERA). Testers must be entirely ready to conduct external testing, and must have updated ICD-10 software installed and ready to use. They must also have the capability to submit future-dated claims, as claims with dates of service before October 1, 2014 will not be accepted.
Testers must be able to provide the National Provider Identifiers (NPIs), Provider Transaction Account Numbers (PTANs), and beneficiary Health Insurance Claim Numbers (HICNs) they will use for test claims when requested by CEDI. This information will be needed several months prior to the start of testing for set- up purposes.
What if I don’t get chosen?
If you don’t win the lottery, there are still plenty of things your organization can do to test and prepare for ICD-10. Front-end testing is still available from CEDI without the need for registration. Providers will receive an acknowledgement that a claim was accepted or a denial if it is not. This testing will not confirm payment or provide remittance advice, but it will give you the opportunity to try out your basic system if you didn’t participate in the official testing week earlier in March. You can also call your local MAC for more information about testing and readiness procedures.