CMS Has Second Successful ICD-10 Testing Week

June 2, 2015
Rick Gawenda

The Centers for Medicare and Medicaid Services (CMS) conducted their second ICD-10 end-to-end testing the week of April 27 – May 1, 2015 and the results released today show CMS is ready for the implementation of ICD-10 on October 1, 2015. Approximately 875 providers, clearinghouses and billing agencies accounting for nearly 1600 registered NPI’s participated in the testing week.

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 both ICD-9 and ICD-10 diagnosis codes.

• 23,138 test claims received
• 20,306 test claims accepted
• 88% acceptance rate
• 2% of test claims were rejected due to invalid submission of ICD-10 diagnosis or procedure code
• <1% of test claims were rejected due to invalid submission of ICD-9 diagnosis or procedure code

Additional rejections were from non-ICD-10 related errors, including incorrect NPI, Health Insurance Claim Number, or Submitter ID; dates of service outside the range valid for testing; invalid HCPCS codes; and invalid place of service. These types of errors also occurred in the January end-to-end testing week. To read the full press release from CMS, click HERE.

Not ready for ICD-10 or you want additional training? We can help! Later this month, Rick will be hosting two webinars. The first is on June 24th and will focus on ICD-10 for PT and OT. The second is June 25th and will focus on ICD-10 for SLP. Click HERE to view all our upcoming webinars, full course description and objectives and to register.

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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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