Medicare gears up for ICD-10: CMS asks health care providers to help by submitting test claims

Participation by APAPO members in Medicare testing of ICD-10-CM codes is critical to ensure that systems will work for psychologists when ICD-10-CM codes are required in fall 2015.

Update: Volunteer by April 17, 2015, to participate in ICD-10 end-to-end testing in July.

For services provided on or after Oct. 1, 2015, ICD-10-CM codes will be required for reporting purposes. The Centers for Medicare and Medicaid Services (CMS) has been preparing for this change and is now testing its claims processing systems. 

CMS is inviting fee-for-service providers to test these systems by volunteering to submit test claims to Medicare with ICD-10-CM codes and receive remittance advice explaining the adjudication of the claim. CMS wants to establish that providers can successfully submit claims to Medicare claims systems and that the CMS software changes result in appropriately adjudicated claims.

Volunteers are being sought for the testing period of April 27-May 1, 2015, and those volunteers may also be selected to participate again July 20-24, 2015. APA Practice Organization (APAPO) encourages psychologists to volunteer in this process to ensure that codes typically used by psychologists function appropriately as implementation of ICD-10-CM begins.

For more details, read “Volunteer for ICD-10 End-to-End Testing in April- Deadline Extended to January 21.”

To volunteer as a testing submitter:

  • Volunteer forms are available on your MAC website.
  • Completed volunteer forms are due Jan. 21.
  • CMS will review applications and select the group of testing submitters.
  • By Feb. 13, the MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing.

If selected, testers must be able to:

  • Submit future-dated claims.
  • Provide valid National Provider Identifiers (NPIs), Provider Transaction Access Numbers (PTANs) and beneficiary Health Insurance Claim Numbers (HICNs) that will be used for test claims. This information will be needed by your MAC by Feb. 20, 2015, for set-up purposes. Testers will be dropped if information is not provided by the deadline.

For more information: