Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 7 § 40.3.3
Testing Standards Applicable to all Beta Testers
40.3.3 – Testing Standards Applicable to all Beta Testers
(Rev. 97, Issued: 01-15-16, Effective: 09-21-15, Implementation: 09-21-15)
1. Each shared system maintainer and each beta tester shall complete integrated testing with the
CWF Beta tester, using coordinated beneficiary data, in the execution of their test cases. All
test cases involving CWF functionality (related to claims adjudication) must be executed in
an integrated test with the CWF. This requires full data exchanges between testing entities
including:
•
Satellite files being sent from the shared systems to the CWF Beta tester; and
•
Response files being sent from the CWF to the shared system Beta testers.
2. Each Beta tester shall:
•
Utilize the standard CMS Test Management tool and repository to documents all test
cases and results.
•
Follow the procedures outlined in the Quarterly Release Test Management User Guide in
order to complete the documentation of test runs and results.
3. Each STC/beta tester shall review all Shared System Maintainer release documentation for
completeness, accuracy, and usability. Any questions, problems, or issues with the
documentation shall be forwarded to both the Shared System Maintainer and CMS.
4. Each STC/beta tester shall conduct performance testing to reasonably assure that the system
provides acceptable response times, throughput rates, and processing windows and can
accommodate production workloads.
5. The CMS testing requirements outlined in section 40.3 may require the STC/beta tester to
test a specific type of bill, specialty, or claim situation for which they do not possess the
required level of expertise. In these instances, the STC/beta tester must partner with a
Medicare A/B, DME MAC that possesses both the expertise and capabilities to test the
specialty or claim type. As an example, should the STC/beta tester not have the operational
capability or expertise to process Home Health claims, they are expected to partner with an
A/B MAC (HHH) to complete the required HHA testing. Ultimately, the STC/beta tester is
responsible for ensuring all test cases are exercised. Any partnerships that are established to
complete the testing requirements shall be arranged and managed by the STC/beta tester.