Deadline to Volunteer for ICD-10 End-to-End Testing Fast Approaching
March 11, 2014 03:38 PM
The Centers for Medicare & Medicaid Service issued Change Request (CR) 8602 recently that allows for a small subset of Medicare claims submitters to test with MACs to demonstrate that CMS systems are ready for the ICD-10 implementation. This additional testing effort will further ensure a successful transition to ICD-10.
Each MAC will select 32 submitters to participate in the end-to-end testing. Testers will be selected randomly from a list of volunteers. At least five - but not more than ten - of the testers will be a clearinghouse. Submitters should be a mix of provider types, including home health and hospice providers.
On March 7, 2014, the MACs posted a volunteer form to their website to collect volunteer information with which to select volunteers. The form will provide information to verify that volunteers are ready to test, meet the requirements to test, and collect needed data about the tester (how they submit claims, what type of claims will be tested, etc.). Volunteers must submit the completed forms to the MACs by March 24, 2014.
MACs will notify the volunteers that they have been selected to test by April 14, 2014, and provide volunteers with the information needed for the testing, including:
How to submit test claims (for example, what test indicators should be set);
What dates of service may be used for testing;
How many claims may be submitted for testing (Test claims volume is limited to a total of 50 claims for the entire testing week, submitted in no more than three files);
Request for National Provider Identifiers (NPIs) and Health Insurance Claim Numbers (HICNs) that will be used in testing (no more than 5 NPIs and 10 HICNs per submitter);
Notice that if more than 50 claims are submitted, they may not be processed;
Notice that claims submitted with NPIs or HICNs not previously submitted for testing, likely will not be completed; and
Notice of potential Protected Health Information (PHI) on test remittances not submitted (and instructions to report PHI found to the MAC).
Click here to view the CR and MedLearn Matters Article.