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Jurisdiction 11 Part B
ICD-10 Volunteer Testing Form

This form must be submitted by October 3, 2014.

Effective with dates of service on or after October 1, 2015, the ICD-9 code sets will be replaced by ICD-10 code sets. To help prepare for this transition, the Centers for Medicare & Medicaid Services (CMS) is soliciting volunteers to conduct limited end-to-end testing with the Medicare Administrative Contractors (MACs) January 26-30, 2015. The sample of 50 participants for each MAC will be selected from the volunteers to represent a broad cross-section of provider types, claims types, and submitter types. Those selected will be provided specific details regarding how to test and who to contact for testing support.

The MAC systems will be able to accommodate future dates of service for this testing. Test claims with ICD-10 codes must be submitted with dates of service October 1, 2014 through October 15, 2014. Each selected submitter may send up to 50 test claims over the course of the testing week. Test claims accepted into the system will be processed by the MAC and a remittance advice will be generated.

For those electronic submitter/trading partners who serve in multiple states, and multiple Medicare jurisdictions, CMS reserves the right to limit a particular submitter to test with only one MAC.

To be considered for this testing effort, please complete this volunteer form by October 3, 2014.

Please complete the Volunteer Testing Form.

If you are not currently signed up for the J11 or Railroad Medicare listserv and would like to register for it, please visit the website.

Thank you for volunteering for ICD-10 end-to-end testing.


last updated on 09/16/2014
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