End-to-End ICD-10 Testing Finds Payers and Providers Ready to Transition

The most recent round of end-to-end ICD-10 testing with Medicare revealed encouraging results, including improved acceptance rates over and above results from January’s testing period, according to the Centers for Medicare and Medicaid Services (CMS).

According to data released on June 2, the acceptance rate for April was higher than January, with an increase in test claims submitted and a decrease in the percentage of errors related to diagnosis codes, CMS announced in a statement. The agency noted that most of the claim rejections that occurred were due to errors unrelated to ICD-9 or ICD-10. Testing participants included health care providers, clearinghouses, and billing agencies, as well as Medicare administrative contractors (MACs) and the durable medical equipment suppliers, and MAC Common Electronic Data Interchange (CEDI) contractors.

According to CMS, in testing that lasted between April 27 and May 1, there were:

  • 23,138 test claims received
  • 20,306 test claims accepted
  • An 88 percent acceptance rate
  • 2 percent of test claims were rejected due to invalid submission of ICD-10 diagnosis or procedure code

The Coalition for ICD-10, an ICD-10 advocacy group, found the results of this round of testing to be encouraging “for physician offices since half the claims submitted for end-to-testing were professional claims. These results indicate that significant progress has been made since the January end-to-end testing with the overall rejection rate dropping from 19 to 12 percent and ICD-10 rejections dropping from 3 to 2 percent,” the group said in a statement.

Click here for a more detailed report on the testing.

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