FROM THE FOUNDATION

Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Health IT

Friday, February 17, 2012

HHS To Delay Deadline for Complying With New Medical Coding System

On Thursday, HHS Secretary Kathleen Sebelius announced that HHS will initiate a process to delay the compliance deadline by which certain health care entities must start using ICD-10 diagnosis and procedure codes, the Wall Street Journal's "Health Blog" reports (Hobson, "Health Blog," Wall Street Journal, 2/16).

The announcement comes just two days after acting CMS Administrator Marilyn Tavenner spoke at the American Medical Association Advocacy Conference and said the agency will consider extending the timeline for ICD-10 implementation.

Background

U.S. health care organizations are working to transition from ICD-9 to ICD-10 code sets to accommodate codes for new diseases and procedures. The switch from ICD-9 to ICD-10 code sets means that health care providers and insurers will have to change out about 14,000 codes for about 69,000 codes.

Under the current timeline, health care providers and insurers have until Oct. 1, 2013, to adopt new ICD-10 code sets.

In November 2011, AMA's House of Delegates approved a resolution pledging to block the transition to ICD-10 code sets, saying the health care industry already is overburdened by requirements under the federal health reform law and health information technology incentive programs.

Earlier this month, James Madara -- executive vice president and CEO of the American Medical Association -- sent a letter asking HHS Secretary Kathleen Sebelius to stop the federally mandated implementation of the ICD-10 coding system and re-evaluate the timelines associated with several federal health IT initiatives (California Healthline, 2/15).

Details of the Announcement

According to the announcement, HHS will push back its Oct. 1, 2013, compliance deadline for ICD-10 and announce a new compliance date moving forward (Goedert, Health Data Management, 2/16).

HHS Secretary Kathleen Sebelius said, "We have heard from many in the provider community who have concerns about the administrative burdens they face in the years ahead." She added that HHS is "committing to work with the provider community to re-examine the pace" of ICD-10 implementation (Pecquet, "Healthwatch," The Hill, 2/16).

AMA Praises HHS Decision

In a statement, AMA President Peter Carmel said that the association appreciates Sebelius' "swift response to address the AMA's serious concerns with ICD-10 implementation."

Carmel said that AMA believes that burdens on physician practices need to be reduced "as the nation's health care system undertakes significant payment and delivery reforms" (Robeznieks, Modern Healthcare, 2/16).



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