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Press release: CMS has proposed one year delay for ICD-10-CM compliance

Discussion in 'Action Alerts and Advocacy' started by Dx Revision Watch, Apr 10, 2012.

  1. Dx Revision Watch

    Dx Revision Watch Suzy Chapman dxrevisionwatch.com

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    http://dxrevisionwatch.wordpress.co...oses-one-year-delay-for-icd-10-cm-compliance/

    CMS proposes one year delay for ICD-10-CM compliance

    April 10, 2012

    Post #156 Shortlink: http://wp.me/pKrrB-22q

    Yesterday, April 9, the US Department of Health and Human Services issued a proposed rule calling for a one year delay in the ICD-10-CM/PCS compliance deadline.

    According to a Centers for Medicare and Medicaid Services (CMS) press release, the proposed rule would postpone the compliance date by which providers and industry have to adopt ICD-10-CM by one year, from October 1, 2013 to October 1, 2014.

    Official publication of the proposed rule is expected to be published in the Federal Register on April 17, followed by a 30 day period during which CMS will take comments.

    Full proposal document:

    http://www.ofr.gov/OFRUpload/OFRData/2012-08718_PI.pdf

    Press release issued April 9, 2012:

    http://www.hhs.gov/news/press/2012pres/04/20120409a.html


    Details for: NEW HEALTH CARE LAW PROVISIONS CUT RED TAPE, SAVE UP TO $4.6 BILLION

    For Immediate Release: Monday, April 09, 2012
    Contact: CMS Office of Public Affairs
    202-690-6145

    NEW HEALTH CARE LAW PROVISIONS CUT RED TAPE, SAVE UP TO $4.6 BILLION


    Department of Health and Human Services (HHS) Secretary Kathleen Sebelius today announced a proposed rule that would establish a unique health plan identifier under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The proposed rule would implement several administrative simplification provisions of the Affordable Care Act.

    The proposed changes would save health care providers and health plans up to $4.6 billion over the next ten years, according to estimates released by the HHS today. The estimates were included in a proposed rule that cuts red tape and simplifies administrative processes for doctors, hospitals and health insurance plans.

    The new health care law is cutting red tape, making our health care system more efficient and saving money, Secretary Sebelius said. These important simplifications will mean doctors can spend less time filling out forms and more time seeing patients.

    Currently, when health plans and entities like third party administrators bill providers, they are identified using a wide range of different identifiers that do not have a standard length or format. As a result, health care providers run into a number of time-consuming problems, such as misrouting of transactions, rejection of transactions due to insurance identification errors, and difficulty determining patient eligibility.

    The rule simplifies the administrative process for providers by proposing that health plans have a unique identifier of a standard length and format to facilitate routine use in computer systems. This will allow provider offices to automate and simplify their processes, particularly when processing bills and other transactions.

    The proposed rule also delays required compliance by one year from Oct. 1, 2013, to Oct. 1, 2014 for new codes used to classify diseases and health problems. These codes, known as the International Classification of Diseases, 10th Edition diagnosis and procedure codes, or ICD-10, will include new procedures and diagnoses and improve the quality of information available for quality improvement and payment purposes.

    Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013, compliance date. The proposed change in the compliance date for ICD-10 would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition to these new code sets.

    The proposed rule announced today is the third in a series of administrative simplification rules in the new health care law. HHS released the first in July of 2011 and the second in January of 2012, and plans to announce more in the coming months.

    More information on the proposed rule is available on fact sheets at

    http://www.cms.gov/apps/media/fact_sheets.asp

    The proposed rule may be viewed at www.ofr.gov/inspection.aspx . Comments are due 30 days after publication in the Federal Register.

    -------------

    Suzy Chapman

    Dx Revision Watch

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