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Upcoming ICD-10 Provider Call, Testing Opportunities

Hospitals and other health care providers have a number of upcoming opportunities to obtain further guidance as they prepare for the Oct. 1 transition to the International Classification of Diseases, 10th Edition (ICD-10) diagnosis and procedure codes. These codes provide health care providers and health plans more specific clinical detail for documenting diagnoses.

Deadline for July End-to-End Testing Extended to May 22 – Application Required

Hospitals interested in participating in the July end-to-end ICD-10 testing now have through May 22 to complete their application. End-to-end testing will demonstrate whether claims from participating hospitals can be successfully submitted and payments accurately produced. A group of approximately 850 volunteers will be selected to participate in end-to-end testing from July 20 to July 24 with Medicare administrative contractors (MACs) and the Common Electronic Data Interchange (CEDI). The Centers for Medicare & Medicaid Services (CMS) plans to select a cross-section of provider, claim, and submitter types to create a representative testing group. The MACs and CEDI will notify selected volunteers by June 12.

National Provider Call June 18 – Registration Required

Subject-matter experts will present strategies and resources to help providers transition to ICD-10 diagnosis and procedure codes on a June 18 national provider call. CMS will provide an update on testing and implementation, which will be beneficial for medical coders, clinicians, billing and health records staff, and system maintenance professionals, as they prepare to transition to ICD-10 diagnosis and procedure codes. Participants will be able to ask questions following the presentations.

Final ICD-10 Acknowledgement Testing June 1 – 5

Hospitals can participate in the final week of ICD-10 acknowledgement testing June 1 – 5, to determine whether they can successfully submit claims and whether claims receive appropriate acknowledgement codes to confirm claim acceptance or rejection. Registration for this testing is not required and is open to all providers who submit electronic Medicare fee-for-service claims.

ICD-10 Videos on Inpatient Hospital Payment Impact, Medicare Testing Plans

CMS has posted two new videos on Medicare’s ICD-10 testing plan and estimating the impact of ICD-10 implementation on Medicare inpatient hospital payments. The videos were recorded during the CMS ICD-10 Coordination and Maintenance Committee meeting in March.

Contact Beth Feldpush, DrPH, senior vice president of policy and advocacy, at bfeldpush@essentialhospitals.org or 202.585.0111 with questions.

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About the Author

Matt Buechner is the policy and advocacy associate for America's Essential Hospitals.

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