Still, healthcare providers are beginning to update their systems and perform their own testing. "This is a huge undertaking. They plan to test with every payer and every downstream system in an end-to-end format. CMS's announcement has gone significantly against the grain of this type of project approach," Hutchison says. "CMS is one of the largest payers for many organizations and independent practices across the country. If providers are performing testing with all their payers, there would be some significant discomfort with the fact that these organizations are unable to do end-to-end testing with a huge portion of their income."
Additionally, organizations around the country also want to ensure CMS is able to turn claims around quickly and provide the same level and speed of reimbursement they expect, she says.
"Organizations and providers alike are already worried about internal productivity and getting timely clean claims out the door with few denials," Hutchison says. "The unknown of a major payer being potentially unable to read/process a claim due to insufficient testing I'm sure weighs heavily."