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“The HIPAA/HITECH Practice Survival Kit”
Your guidebook to meet the challenges of the new HIPAA/HITECH Act
Is your practice prepared for the new HIPAA/HITECH Act? We can help you meet the new requirements with our "HIPAA/HITECH Practice Survival Kit"
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CMS Promises More End-to-End Testing of ICD-10 Codes this Summer
Pressed by organized medicine and lawmakers alike, the Centers for Medicare and Medicaid Services (CMS) announced February 20 that it will conduct tests to see whether Medicare claims incorporating the new and controversial ICD-10 diagnostic codes actually get paid.
On October 1, physicians must begin using the new codes in the claims they submit to Medicare, Medicaid, and private insurers.
This month, CMS will offer all physicians so-called "acknowledgement testing" that will tell them - and the billing services and claims clearinghouses they depend on - whether Medicare is able to receive their claims with ICD-10 codes. However, organized medicine has clamored for CMS to go one step further and conduct "end-to-end" testing of claims bearing the new codes. This kind of trial run is designed to show whether Medicare will pay a claim, and for how much. In theory, the results would help physicians spot any coding errors they commit, as well as problems in the claims pipeline between their office and Medicare. Without such testing, physicians could suffer massive payment delays, according to the AMA.
CMS also announced it would offer end-to-end testing to a small group of healthcare providers this summer. The agency said it would select providers "to represent a broad cross-section of provider types, claims types, and submitter types." They would submit test claims with the new codes and receive a "remittance advice" stating how much Medicare paid.
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