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Providers satisfied with internal ICD-10 preparation, eschew outside testing

Most healthcare professionals are confident enough in their organization’s internal ICD-10 preparation that they haven’t consulted with an outside source to measure their readiness prior to the Oct.1 coding changeover date. Less than a quarter of high-level healthcare pros that responded to a QualiTest Group survey said their organizations have used outside contractors to perform ICD-10 testing. A significant majority (83%) believe their health information systems will work properly when it comes time to start operating with the expanded ICD-10 code set.

None of the respondents believe there will be another ICD-10 delay. A portion (17%) is unsure if the ICD-10 deadline will stay where it is, while the remainder is certain Oct.1, 2015 will be the day the American healthcare industry makes the move to ICD-10.

Providers have taken advantage of CMS’ ICD-10 end-to-end testing opportunities. More than half of respondents said they participated in the end-to-end testing trial in January, with an additional 61% planning to engage in future CMS testing periods.

The results of a previous CMS testing session offer more reasons for providers to be confident as they finalize their ICD-10 preparations. More than 600 organizations submitted claims during the nine-day period, and only 3% of those claims were rejected by CMS. Those failures were the results of improper ICD-9 code submissions. Of the nearly 15,000 total testing codes, more than 12,000 — or 81% — were accepted. Most of the erroneous submissions were the result of improper test claim formatting and were unrelated to ICD-10 codes.

The QualiTest survey respondents aren’t assuming everything about converting to ICD-10 will be business as usual. Two-thirds of them anticipate there will be change in revenue at their healthcare organization after Oct. 1.

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