EDITOR’S NOTE: This part one in a series of end-to-end testing results
ICD-10 may have been delayed until 2015, but many payers are continuing with their original testing schedules. That means providers can’t wait either, because if they do, they risk missing out on opportunities that may not come around again.
ZirMed conducted end-to-end testing with multiple payers this past spring and during the early summer months. The results were encouraging — but they aren’t necessarily representative of what will happen when you test. There are far too many variables in play to make any blanket predictions, so it’s crucial to conduct your own testing.
That said, here’s what we saw: providers submitting professional claims received 835s back from payers, and those that submitted test claims based on paid claims coded in ICD-9 did not see overwhelming differences when they compared the two remits. Nonetheless, the differences these providers did see still could have material and significant impacts on reimbursement.