ICD-10 Testing WeekThe Centers for Medicare & Medicaid Services (CMS) recently announced the results of the ICD-10 testing week conducted this past March, and HealthFusion is pleased to announce that our testing results were in the upper ranks of those testing.

CMS said that testers submitted more than 127,000 claims with ICD-10 codes to the Medicare Fee-for-service (FFS) claims systems and received electronic acknowledgements confirming that their claims were accepted.

“Approximately 2,600 participating providers, suppliers, billing companies and clearinghouses participated in the testing week, representing about five percent of all submitters,” said Niall Brennan, Acting Director, CMS Offices of Enterprise Management in the announcement.

The statement said that clearinghouses, which submit claims on behalf of providers, were the largest group of testers, submitting 50 percent of all test claims. Other testers included large and small physician practices, small and large hospitals, labs, ambulatory surgical centers, dialysis facilities, home health providers, and ambulance providers.

Nationally, CMS accepted 89 percent of the test claims, with some regions reporting acceptance rates as high as 99 percent. The normal FFS Medicare claims acceptance rates average 95-98 percent. Testing did not identify any issues with the Medicare FFS claims systems.

HealthFusion’s Results at Top End of Range

HealthFusion is proud to say that our testing results scored between 98 percent and 99 percent, putting us in the upper tier of testers. We tested against all 15 Medicare Administrative Contractors (MACs) for professional and institutional claims.

This testing week was the first offered to the industry, and it allowed an opportunity for testers and CMS alike to learn valuable lessons about ICD-10 claims processing.

The statement also noted that HHS expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015, according to this announcement.

CMS says that providers, suppliers, billing companies, and clearinghouses are welcome to submit acknowledgement test claims anytime up to the anticipated October 1, 2015 implementation date. The deadline was postponed from October 1, 2014 in April when Congress passed the SGR fix bill with the ICD-10 delay included.

Submitters should contact their local Medicare Administrative Contractor (MAC) for more information about acknowledgment testing. However, those who submit claims may want to delay acknowledgement testing until after October 6, 2014, when Medicare updates its systems.

CMS has announced that it will be conducting end-to-end testing in 2015—originally expected in July—and said that details about this testing will be released soon.

For more information on ICD-10 and how HealthFusion is helping you manage the transition, visit the ICD-10 section of our website.