Tag Archives: ICD-10

ICD-10 Coordination and Maintenance Committee Meeting Scheduled for March 7-8, 2017

The ICD-10 Coordination and Maintenance Committee is meeting on March 7 and 8, 2017, to discuss proposed code changes to ICD-10-CM and ICD-10-PCS. The March 7, 2017 session will focus on procedure codes, and the March 8 meeting will address diagnosis codes.  The registration deadline to attend the meetings is February 25, 2017.… Continue Reading

CMS ICD-10 Coding Flexibility Policy to End October 1, 2016. Period.

On October 1, 2016, CMS is definitively ending an ICD-10 coding “flexibility” policy announced last year that prevents practitioner Medicare Part B physician fee schedule claims from being denied based solely on the specificity of the ICD-10 diagnosis code, as long as the physician/practitioner uses a valid ICD-10 code from the right family.  According to … Continue Reading

CMS Call: Countdown to ICD-10 (Aug. 27)

On August 27, 2015, CMS is hosting a call to help health care providers prepare for ICD-10 implementation on October 1, 2015. CMS staff will be joined by representatives of the American Health Information Management Association (AHIMA) and the American Hospital Association (AHA). The call will cover: the status of implementation, coding guidance; how to … Continue Reading

CMS Announces Efforts to Ease ICD-10 Transition

Today CMS announced steps to help physicians prepare for the switch to ICD-10 coding on October 1, 2015.  Most significantly, CMS announced that during the first year after ICD-10 implementation, Medicare contractors will not deny physician or other practitioner Part B physician fee schedule claims based solely on the specificity of the ICD-10 diagnosis code, … Continue Reading

GAO Evaluates CMS Activities to Prepare Health Industry for ICD-10 Launch

According to a recent GAO report, CMS has taken numerous steps to prepare industry for the October 1, 2015 transition to ICD-10 codes, such as developing checklists, timelines, and other educational materials and hosting training sessions for Medicare providers. CMS also has monitored covered entity and vendor readiness through stakeholder collaboration meetings, focus group testing, … Continue Reading

Congressional Health Policy Hearings

The following Congressional panels have held hearings recently on various health policy issues: The House Science, Space, and Technology Committee held a hearing entitled, “Can Americans Trust the Privacy and Security of their Information on HealthCare.gov?”; The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing on the reemergence of vaccine-preventable diseases; and The Energy … Continue Reading

CMS Schedules Provider Calls on Medicare Payment, Quality, Coding & Program Integrity Topics

CMS has scheduled a series of provider calls in February and March on the following topics: February 3: Special Open Door Forum on the upcoming Prior Authorization of Non-Emergent Hyperbaric Oxygen Therapy model to be implemented in March in Illinois, Michigan, and New Jersey. February 4: Special Door Forum on the introduction of star ratings on … Continue Reading

Congressional Health Policy Hearings

Recent Congressional health policy hearings have addressed the following issues: The Senate Health, Education, Labor, and Pensions (HELP) Committee held a hearing on generic drug pricing; The House Oversight and Government Reform Committee focused on its concerns associated with transparency in passage and implementation of the Affordable Care Act in a hearing featuring CMS Administrator Marilyn … Continue Reading

CMS Call: Transitioning to ICD-10 (Nov. 5)

CMS is hosting a call on November 5, 2014 to discuss implementation issues associated with the transition to ICD-10 on October 1, 2015. The call will cover the following topics: final rule and national implementation; Medicare Fee-For-Service testing; the Medicare Severity Diagnosis Related Grouper (MS-DRG) Conversion Project; partial code freeze and annual code updates; plans … Continue Reading

CMS Publishes Final FY 2015 Update to Medicare IRF PPS

On August 6, 2014, CMS published its final rule to update Medicare payment policies under the inpatient rehabilitation facility (IRF) PPS for FY 2015. Under the final rule, CMS expects aggregate Medicare payments to IRFs will increase by $180 million, or 2.4%, compared to 2014 levels. The standard payment conversion factor for discharges for FY … Continue Reading

HHS Officially Sets October 1, 2015 Date for ICD-10 Implementation

HHS has published a final rule that makes official the October 1, 2015 compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS). HHS had previously intended to transition from ICD-9 to ICD-10 on October 1, 2014, but the Protecting Access … Continue Reading

CMS Extends Partial ICD-9-CM and ICD-10 Code Freeze to Reflect Transition Delay

CMS has announced that it is extending its partial ICD-9-CM and ICD-10 code freeze to reflect enactment of legislation (the Protecting Access to Medicare Act of 2014) that prevents the agency from adopting ICD-10 prior to October 1, 2015. Under the new schedule, on October 1, 2014 there will be only limited code updates to both … Continue Reading

CMS Finalizes Hospice Policies, Rates for FY 2014

CMS published a final rule on August 7, 2013 that updates Medicare hospice reimbursement and related policies for FY 2014, which begins on October 1, 2013. The final rule increases Medicare hospice payments by 1.0% compared to FY 2013 rates, but down slightly from the 1.1% increase anticipated in the proposed rule. Specifically, CMS is … Continue Reading

CMS Offers Tips and Timelines for ICD-10 Implementation

In preparation for the October 1, 2014, ICD-10 code set implementation date, CMS has posted a variety of ICD-10 checklists and planning timelines for provider practices, hospitals, and payers.  CMS also has outlined suggested steps for ensuring a smooth transition to ICD-10 and preparing for potential cash-flow disruptions from claims processing delays. For instance, CMS … Continue Reading

ICD-9-CM Coordination and Maintenance Committee Meeting (March 5, 2013)

This post was written by Nancy Sheliga. On March 5, 2013, the ICD-9-CM Coordination and Maintenance Committee is holding a public forum to discuss proposed code changes to the ICD-9-CM and ICD-10-CM/PCS code sets. As previously reported, CMS has scheduled implementation of the ICD-10-CM/ICD-10-PCS code sets for October 1, 2014. Accordingly, only limited code updates … Continue Reading

CMS Publishes Corrections to Administrative Simplification, IPPS/LTCH PPS Rules

On October 4, 2012, CMS published technical corrections to the agency’s September 5, 2012 final administrative transactions rule that adopted a unique health plan identifier standard and delayed the implementation date for the International Classification of Diseases, 10th Revision (ICD-10) coding update from October 1, 2013 to October 1, 2014. CMS also published a rule … Continue Reading

CMS Outlines New ICD-9/ICD-10 Code Set Update Schedule

CMS recently made it official that it is delaying implementation of the ICD-10-CM/ICD-10-PCS code sets until October 1, 2014. CMS has released two educational articles for providers explaining various implementation issues. The first article, “Updated ICD-10 Implementation Information,” provides an overview of the differences between the ICD-10 and ICD-9 code sets, and discusses provider preparation … Continue Reading

CMS Call: Preparing Physicians for ICD-10 Implementation (Oct. 25)

On October 25, 2012, CMS is hosting a national provider call on Preparing Physicians for ICD-10 Implementation. The call will cover, among other topics: practical pointers for providers on transitioning to ICD-10 (currently set for October 1, 2014); an overview of ICD-10 implementation requirements; plans for local coverage determination (LCD) and national coverage determination (NCD) … Continue Reading

HHS Adopts Unique Health Plan Identifier, Delays Implementation Date for ICD-10

On September 5, 2012, the HHS published a final rule that establishes new requirements for administrative transactions that are intended to improve the utility of the existing HIPAA transactions and reduce administrative burden and costs. Specifically, the rule adopts the standard for a national unique health plan identifier (HPID) and establishes requirements for the implementation … Continue Reading

HHS Announces Intent to Delay ICD-10 Compliance Date

HHS Secretary Kathleen Sebelius has 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).” Under the January 2009 final rule adopting ICD-10 as a standard, the compliance date was set for October … Continue Reading
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