Home Health & Hospice Week

Industry Notes:

Most Providers Pass ICD-10 Diagnosis Code Testing With Flying Colors

If you’re not ready for ICD-10, it’s time to catch up with your peers. The latest round of ICD-10 testing reveals that most providers and processing systems are already prepared for the switch to the new diagnosis coding system.

At the end of April, CMS offered providers an opportunity to participate in ICD-10 testing, and after processing 23,138 test claims, MACs’ systems accepted 88 percent of them. Among the rejected claims, only 2 percent had invalid ICD-10 codes, less than 1 percent had erroneous ICD-9 codes, and the rest of the denied claims had errors unrelated to the ICD-10 transition, such as using the wrong NPI, date of service or place of service, among other issues.

“This second end-to-end testing week demonstrated that CMS systems are ready to accept ICD-10 claims,” CMS says in a release. The most recent 88 percent success rate was higher than the 81 percent seen in January, the agency said, suggesting that ICD-10 accuracy continues to improve

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