Volunteers Sought for ICD-10 End-to-End Testing in January: Forms due October 3

09-24-2014

During the week of January 26-30, 2015, a sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The goal of end-to-end testing is to demonstrate that:

  • Providers and submitters are able to successfully submit claims containing ICD-10 codes to the Medicare Fee-For Service (FFS) claims systems
  • CMS software changes made to support ICD-10 result in appropriately adjudicated claims
  • Accurate Remittance Advices are produced
Approximately 850 volunteer submitters will be selected to participate in the January end-to-end testing. This nationwide sample will yield meaningful results, since CMS intends to select volunteers representing a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers.
 
To volunteer as a testing submitter:
  • Volunteer forms are available on your MAC website
  • Completed volunteer forms are due October 3
  • CMS will review applications and select the group of testing submitters
By October 24, the MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing
 
Additional opportunities for end-to-end testing will be available in 2015. Any issues identified during testing will be addressed prior to ICD-10 implementation. Educational materials will be developed for providers and submitters based on the testing results.
 
For more information: MLN Matters® Special Edition Article #SE1409, “Medicare FFS ICD-10 Testing Approach.”