Tuesday, April 21, 2015

CMS Results From March 2015 ICD-10 Acknowledgement Testing

Dianne De La Mare
In March 2015, the US Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), along with health care professional volunteers conducted a successful acknowledgement testing. Acknowledgement testing gives providers and others the opportunity to submit claims with ICD-10 codes to the Medicare Fee-For-Service (FFS) claims systems and receive electronic acknowledgements, confirming that their claims were accepted. Volunteers were not required to register and there was no limit on the number of claims that they could submit.

Providers can conduct acknowledgement testing with CMS at any time, and many providers have already participated. Results of the March testing indicated that 775 submitters participated, submitting almost 9,000 claims, and CMS accepted 91.8 percent of test claims. This is the highest acceptance rate in any of the previous testing. CMS found that the small percentage of claims that were rejected most often resulted from improperly developed test claims that were totally unrelated to ICD-10. Many rejected claims also were related to an invalid National Provider Identifier (NPI) or an NPI that was not on the NPI crosswalk.

CMS will continue to conduct extensive outreach to testers on setup of test claims to avoid these issues for future acknowledgement testing. For more information on CMS March 2015 Acknowledgement Testing to http://www.cms.gov/Medicare/Coding/ICD10/Downloads/March-2015-ICD-10-Acknowledgement-Testing-Week.pdf.

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