Medi-Cal ICD-10 End-to-End Testing Registration Due June 5, 2015
Medi-Cal will conduct ICD-10 end-to-end testing with Medi-Cal stakeholders in July 2015. Selection of test partners will be limited. Medi-Cal will select volunteers from a representative, broad cross-section of provider types, claim types and submitter types.
Registration will close at 11:59 p.m. (PDT) on June 5, 2015. Late registration will not be accepted. Medi-Cal will notify registered organizations no later than June 22, 2015, regarding participation in the testing program.
- Currently submit claims as an 837I or 837P transaction.
- Currently receive an 835 Health Care Claim Payment/Advice transaction.
- Be ready to test ICD-10-CM/PCS, meaning all vendor and practice management software needed for testing is updated and internally tested prior to conducting end-to-end testing with Medi-Cal.
- Be able to generate test claims with test beneficiaries.
- Be able to generate test claims containing ICD-10-CM/PCS codes with dates of service/dates of discharge, using a test implementation date prior to October 1, 2015.
- Be able to generate test claims containing ICD-10-CM/PCS codes based on medical scenario test cases.
- Be trained on billing ICD-10-CM/PCS.
- Be able to identify a single point of contact (POC) for the testing effort.
- Be the claim submitter or have a single POC for their claim submission service.
Testers must satisfy all end-to-end testing requirements to be considered for testing.
Medi-Cal will require that testers submit test claims in the same manner as claims for reimbursement. For example, if a tester normally submits claims via a clearing house, Medi-Cal will expect that claims submitted through the test program be submitted through the same clearing house.
Test results will be announced to providers in a future Medi-Cal Update.
If you would like to participate in the test program, please register by sending an email request by 11:59 p.m. (PDT) on June 5, 2015, to the ICD-10 mailbox ICD-10Medi-Cal@xerox.com and include the following:
- Organization name
- Point of contact name
- Point of contact email address
- Point of contact telephone number
- The NPI the organization will be using for testing purposes
- Submitter ID (if applicable)
- Submitter name (if applicable)
- Submitter Type – Clearing house, billing service, hospital group, individual provider, etc.
- Submission Path – Identify whether you currently submit claims directly to the Department of Health Care Services, through a billing service or a clearing house. If submitted through a service, identify the name of the service.
- If you use a third party to submit claims, include the submitter POC name, email and telephone number.
- Identify the following claim type and NPI number you plan on submitting for testing:
a. 837 Professional – Medical
b. 837 Institutional – Inpatient, Outpatient, LTC
- List the types of services you plan on submitting for testing
- List the average number of claims submitted per month (in production)
- A statement of confirmation satisfying end-to-end testing requirements, expressed in the bulleted list above
Not all providers who register will be selected for testing. If your organization is selected for testing, additional details/instructions will be provided.