CMS Announces More Successful ICD-10 Testing, Names Ombudsman | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

CMS Announces More Successful ICD-10 Testing, Names Ombudsman

September 1, 2015
by Rajiv Leventhal
| Reprints

The Centers for Medicare & Medicaid Services (CMS) has announced another successful round of week-long ICD-10 end-to-end testing.

Medicare fee-for-service (FFS) healthcare providers, clearinghouses, and billing agencies participated in a third successful ICD-10 end-to-end testing week with all Medicare Administrative Contractors (MACs) and the Durable Medical Equipment (DME) MAC Common Electronic Data Interchange (CEDI) contractor from July 20 through 24, 2015, the agency said. CMS was able to accommodate most volunteers, representing a broad cross-section of provider, claim, and submitter types.

Approximately 1,200 submitters were selected to participate, including 493 returning testers from the January and April testing weeks. Approximately 1,400 National Provider Identifiers (NPIs) were registered to test, of which 174, or 12 percent, were repeat NPIs from previous testing weeks. This indicates that many clearinghouses that participated in previous weeks chose different providers for July.

This round of testing resulted in an 87 percent acceptance rate. During the first ICD-10 end-to-end testing week, which took place from January 26 until February 3, 81 percent of claims were accepted; on June 2, the agency announced that 88 percent of submitted claims were accepted in t he second round of testing, which took place from April 27-May 1. The deadline for ICD-10 implementation is Oct. 1, 2015.

Overall, participants in the July end-to-end testing week were able to successfully submit ICD-10 test claims and have them processed through Medicare billing systems. In some cases, testers may have intentionally included errors in their claims to make sure that the claim would be rejected, a process often referred to as “negative testing,” CMS said.

CMS revealed that about 1.8 percent of test claims were rejected due to invalid submission of ICD-10 diagnosis or procedure code, while 2.6 percent of test claims were rejected due to invalid submission of ICD-9 diagnosis or procedure code.

Additionally, CMS has announced the hiring of an ICD-10 ombudsman to oversee the new medical coding system, beginning on Oct. 1. The ombudsman, William Rogers, M.D., is currently an emergency room physician and director of CMS’ Physicians Regulatory Issues Team.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Advocate Aurora Health, Foxconn Plan Employee Wellness, “Smart City,” and Precision Medicine Collaboration

Wisconsin-based Advocate Aurora Health is partnering with Foxconn Health Technology Business Group, a Taiwanese company, to develop new technology-driven healthcare services and tools.

Healthcare Data Breach Costs Remain Highest at $408 Per Record

The cost of a data breach for healthcare organizations continues to rise, from $380 per record last year to $408 per record this year, as the healthcare industry also continues to incur the highest cost for data breaches compared to any other industry, according to a new study from IBM Security and the Ponemon Institute.

Morris Leaves ONC to Lead VA Office of Electronic Health Record Modernization

Genevieve Morris, who has been detailed to the U.S. Department of Veterans Affairs (VA) from her position as the principal deputy national coordinator for the Department of Health and Human Services, will move over full time to lead the newly establishment VA Office of Electronic Health Record Modernization.

Cedars-Sinai Accelerator Program Presents Fourth Class of Startups

The Cedars-Sinai Accelerator, a program that helps entrepreneurs bring their innovative technology products to market, has brought in nine more health tech startups as part of its fourth class.

DirectTrust Adds Five Board Members

DirectTrust, a nonprofit organization that support health information exchange, announced the appointment of five new executives to its board of directors.

Analysis: Many States Continue to Have Restrictive Telemedicine Policies

State Medicaid programs are evolving to accelerate the adoption of telemedicine models, this evolution is occurring more quickly in some states than others, according to a recent analysis by Manatt Health.