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Friday Feb 06, 2015

CMS answers your questions about ICD-10 testing

Last month, we provided an update on the results of ICD-10 acknowledgement testing done by the Centers for Medicare & Medicaid Services (CMS). That post also referenced the opportunity to do end-to-end ICD-10 testing with Medicare. Recognizing that there may be some confusion surrounding these different testing methods, CMS has released some frequently asked questions ( about both.

Among the takeaways from these FAQs:

•    Physicians do not need to register for acknowledgement testing, but end-to-end testing volunteers must register on their Medicare Administrative Contractor (MAC) website during specific time periods.
•    All Medicare fee-for-service electronic submitters can participate in acknowledgement testing, but CMS and its MACs will select only 50 testers per MAC jurisdiction for each round of end-to-end testing.
•    Acknowledgement testing will not confirm payment; it will only confirm that the claim was accepted or rejected by Medicare. End-to-end testing, however, will provide an electronic remittance advice based on current year pricing.
•    There is no limit on the number of acknowledgement test claims a physician can submit, but if selected for end-to-end testing, the physician may submit only 50 claims per test week.

The FAQs include a reminder that you may submit acknowledgement test claims anytime, although CMS encourages you to do acknowledgement testing during the highlighted testing weeks of March 2-6 and June 1-5. Those chosen for end-to-end testing must submit their test claims during the testing weeks of April 27–May 1 and July 20-24.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

Posted at 10:31AM Feb 06, 2015 by David Twiddy

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