Posts Tagged ‘ICD-10’

CMS Sets New Date For ICD-10 Implementation

In Uncategorized on August 24, 2012 at 7:27 pm

The medical community can breathe a short sigh of relief, after having been granted a 1-year reprieve from ICD-10 implementation.  HHS Secretary Kathleen Sebelius announced this morning a final rule establishing a one-year delay – from Oct. 1, 2013, to Oct. 1, 2014- in the compliance date for use of the ICD-10 Coding system, thereby allowing providers and payers additional time to implement the new code set.   The rule is one of a series of changes intended to cut red tape in the health care system.

In making the announcement, Sebelius said, “These new standards are a part of our efforts to help providers and health plans spend less time filling out paperwork and more time seeing their patients.”

In addition to announcing the new ICD-10 deadline, the rule would also establish a mechanism for assigning a unique health plan identifier (HPID) for all health plans in the United States. 

Currently, when a health care provider bills a health plan, that plan may use a wide range of different identifiers that do not have a standard format.  It is hoped that the adoption and use of Health Plan IDs will allow for a higher level of automation for health care provider offices, particularly for provider processing of billing and insurance related tasks, eligibility responses from health plans, and remittance advice that describes health care claim payments.

A preview of the final rule (200+ pages) is available for inspection.  The actual final rule should be published in the Federal Register September 5th. 


It’s Official – ICD-10 Has Been Delayed

In Uncategorized on February 21, 2012 at 8:55 pm

It’s no longer a mere possibility; HHS has confirmed its intent to delay the ICD-10 compliance deadline, as announced in HHS’s February 16th press release:

As part of President Obama’s commitment to reducing regulatory burden, Health and Human Services Secretary Kathleen G. Sebelius today announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10):   “We have heard from many in the provider community who have concerns about the administrative burdens they face in the years ahead,” Secretary Sebelius said in the press release. “We are committing to work with the provider community to reexamine the pace at which HHS and the nation implement these important improvements to our healthcare system.”

The American Medical Association (AMA) supports the delay. “The timing of the ICD-10 transition could not be worse for physicians as they are spending significant financial and administrative resources implementing electronic health records in their practices and trying to comply with multiple quality and health information technology programs that include penalties for noncompliance,” Peter W. Carmel, M.D., president of the AMA, said in a February 16 press release.

Though the new deadline remains unclear, CMS previously confirmed CMS Acting Administrator Marilyn Tavenner’s statement that the agency will use the rulemaking process when revisiting the ICD-10 implementation timeline. The rulemaking process can be lengthy, so it may well be awhile before a firm date is established.

adapted from, and HHS Press Release (

Happy Valentine’s Day – CMS’ Present To Providers: Potential Delay in ICD-10 Timeline

In Uncategorized on February 14, 2012 at 7:49 pm
The acting head of the CMS on Tuesday signaled that the agency will extend the timeline on ICD-10 implementation.
Over the past few months, the American Medical Association has been actively working toward delaying the implementation of ICD-10.  In mid-January, a letter from AMA Executive Vice President and CEO James L. Madara, M.D. to House Speaker John Boehner (R, Ohio) stated that, “[r]equiring doctors to use ICD-10 would offer no direct benefit to patient care.”  That letter further stated that “requiring all physician practices to use new diagnosis codes starting Oct. 1, 2013, also would interfere with concurrent efforts by doctors to implement electronic medical records and satisfy other Medicare quality improvement requirements.”
After recently speaking to attendees at the American Medical Association Advocacy Conference in Washington, acting CMS Administrator Marilyn Tavenner told reporters that the CMS will “re-examine the timeframe” through a rulemaking process. She did not say when that rulemaking process will begin but said the CMS would send details about the process in the coming days. “There’s concern that folks cannot get their work done around meaningful use, their work around ICD-10 implementation and be ready for exchanges,” Tavenner said. “So we’re trying to listen to that and be responsive.” Separately, Tavenner said she the CMS has had “good results” with accountable care organization applications and expects to make an announcement about selected applicants “at the beginning of the second quarter of this year.”
For more information on ICD-10, please see The Centers for Medicare & Medicaid Services’s webpage, at