ICD-10 Testing: Good News and Bad News

shutterstock_27194272192 days til October 1.

We’ve written before about the importance of early testing for ICD-10 compliance, and you may remember a January blog, Testing your ICD-10 resolutions for 2015, which pointed to early positive CMS ICD-10 claims test results.

While it’s true that this initial testing was limited to claims acceptance and denials only, the more comprehensive end-to-end testing that began in April and continued through May was designed to test processed claims all the way through the Medicare system.


Now that this second phase has wound down, initial results have been announced and the outcome is pretty impressive. As FierceHealthIT.com wrote recently, 88% of the 875 providers, clearinghouses and billing agencies taking part in the testing submitted acceptable claims (up from an impressive 81% in the limited testing of Phase 1).

CMS also revealed that only two percent of claims were rejected because of invalid ICD-10 diagnosis or procedure codes. Again, impressive.

But let’s not forget that these respondents and the CMS results reflect those organizations that have taken significant, necessary steps to be compliant by October of 2015. Approximately 30% of physicians and physician groups have, as of yet, not even begun to prepare according to ICD-10 Monitor.

The author rightly asserts that as of now “everyone should be in the final stages of preparation,” and goes on to offer tips for getting there. We’ve offered our own tips for ICD-10 readiness in the past, and you can find that content here if you’re interested.

The final takeaway is, if you’re not ready you should get ready. Consensus is that the October deadline is final and if you’re not prepared it could be devastating for your organization. Of course, there are some who say the chances are fair that the deadline will be moved again; but with so much at stake can you take that chance?



About Cynthia Sherman

Cynthia Sherman

Cynthia leads all aspects of Coding Services at MediRevv, including the day to day management of coding operations and client account management. As Director of Coding she has grown division from a staff of one to forty. She is certified CCS-P (2002) through AHIMA.

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