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San Francisco Marin Medical Society Blog

End-to-end Testing Will Ensure Streamlined Transitions to Updated HIPAA Transactions and Operating Rules



To ensure streamlined transitions to operating rule and standard transaction updates, unlike the previous move from the 4010 to 5010 version of HIPAA transactions, AMA has long advocated for pre-pilot testing of the future versions of the Health Insurance Portability and Accountability Act (HIPAA) standard transactions and operating rules prior to adoption. Such testing is crucial to ensure minimal physician practice disruption. As a result of AMA’s effective advocacy, the Centers for Medicare and Medicaid Services (CMS) awarded a grant to the National Government Services to develop and pilot an end-to-end testing process through the End-to-End Testing Industry Collaborative Partner (ICP) work group, in which AMA participates. This process is intended to be used for all future operating rule and standard system updates, as well as the pending ICD-10-CM update. 

The ICP over the past four months has reviewed end-to-end testing documents for use by payers, vendors and providers. Physician feedback is requested on these documents. Click here to access the CMS End-to-End Testing web page to provide feedback or obtain more information.

In addition, CMS has awarded a contract to Emdeon to perform pilot testing on the 6020 version of the Accredited Standards Committee X12 (ASC X12) standard transactions to determine the impact to the healthcare industry of moving to new standards. During this pilot testing, deficiencies or areas for potential transmission disruption will be identified and fixed, prior to adoption of the next version of standard transactions.   



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