Practice Management & Allied Staff News & Materials
End-to-End Testing of HIPAA Transactions and ICD-10-CM
March 15th, 2013
New HIPAA operating rules will be enforced this year that will give physician practices the ability to determine a patient's eligibility and financial responsibility for specific services prior to or while the patient is still in the office. The Affordable Care Act (ACA) also requires the adoption of additional new standards, operating rules, and identifiers in the upcoming years. To assist all entities with assessing their system readiness for these changes as well as the transition to ICD-10-CM by October 1, 2014, the Centers for Medicare and Medicaid Services (CMS) contracted with the National Government Services (NGS) to develop a pilot process for End-to-End testing. This pilot will allow for testing one's systems with external trading partners to ensure the continuous exchange of administrative information. While the goal is a process that can be used across all Administrative Simplification Requirements, ICD-10 will be the test case used during the pilot.
End-to-End pilot checklists for readiness with ICD-10-CM, HIPAA Administrative Simplification Compliance, and Affordable Care Act are available for small and large provider practices as well as vendors and payers. For more information on the complete End-to End testing process including the ICD-10-CM readiness checklist visit the End-To-End testing page on the CMS Website.