CMS to Consider Conducting ICD-10 End-To-End Testing; Issues Change Request to Medicare Contractors

On November 5, during a stakeholder meeting the Centers for Medicare and Medicaid Services (CMS) stated that it may consider performing external, end-to-end ICD-10 testing. CMS has historically focused on internal testing only, stating that they were “confident that the current level of testing that is done each quarter for any changes to the Medicare claims processing systems is effective to ensure that claims will be processed properly and that ICD-10 diagnosis codes will be accepted and claims will be processed correctly.”

 Last week’s statement was the first signal from CMS that external testing would now be considered. Along these lines, CMS issued a Change Request to Medicare Administrative Contractors (MACs) to conduct some limited ICD-10 end-to-end testing in March, 2014, and also solicit the MACs for suggestions on additional end-to-end testing.

CMS Administrator Marilyn Tavenner, during her speech at HIMSS13, spoke firmly that the ICD-10 adoption date would stay firm for October 1, 2014. Subsequent statements made by CMS staff have similarly reflected that this date will not change. For more information on ICD-10, the HIMSS ICD-10 PlayBook provides critical information to assist hospitals, ambulatory centers, practitioners, and their staff in transitioning to ICD-10.



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