HHS issue Final Rule: ICD-10-CM compliance deadline set for October 1, 2015
July 31, 2014
Post #314 Shortlink: http://wp.me/pKrrB-3ZI
CMS Press Release: Final Rule July 31, 2014
Coding industry and professional body reaction
ICD-10 Testing: Final rule overshadows CMS testing plans
ICD10 Watch | Carl Natale | August 2, 2014
Debunking Myths and Misperceptions of ICD-10 – Journal of AHIMA illustrates why it’s time for 10AHIMA | News Release | July 30, 2014
DHHS final rule on ICD-10 delay ready for publicationICD10Watch | Carl Natale | July 31, 2014
Health Leaders Media | Michelle Leppert | August 1, 2014
ICD-10 Final Rule Released, October 2015 Official Compliance DeadlineJournal of AHIMA | Mary Butler | July 31, 2014
ICD-10 Final Rule Stirs Angst, ApprehensionICD10 Monitor | Chuck Buck | August 1, 2014
(From June 12, 2014)SNOMED, ICD-11 Not Feasible Alternatives to ICD-10-CM/PCS Implementation
AHIMA | Sue Bowman | June 12, 2014
“For the US, [2017] is the beginning, not the end, of the process toward adoption of ICD-11.”
Resources
Federal Register: HHS ICD-10-CM Compliance FINAL RULE
[PDF] DEPARTMENT OF HEALTH AND HUMAN SERVICES, Office of the Secretary
45 CFR Part 162 [CMS-0043-F] RIN 0938-AS31
Administrative Simplification: Change to the Compliance Date for the International Classification of Diseases, 10th Revision (ICD–10–CM and ICD-10-PCS) Medical Data Code Sets
CMS Press Release: Final Rule July 31, 2014
CMS NEWS
FOR IMMEDIATE RELEASE Contact: CMS Media Relations
July 31, 2014 (202) 690-6145 or press@cms.hhs.gov
Deadline for ICD-10 allows health care industry ample time to prepare for change
Deadline set for October 1, 2015
The U.S. Department of Health and Human Services (HHS) issued a rule today finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.
The ICD-10 codes on a claim are used to classify diagnoses and procedures on claims submitted to Medicare and private insurance payers. By enabling more detailed patient history coding, ICD-10 can help to better coordinate a patient’s care across providers and over time. ICD-10 improves quality measurement and reporting, facilitates the detection and prevention of fraud, waste, and abuse, and leads to greater accuracy of reimbursement for medical services. The code set’s granularity will improve data capture and analytics of public health surveillance and reporting, national quality reporting, research and data analysis, and provide detailed data to enhance health care delivery. Health care providers and specialty groups in the United States provided extensive input into the development of ICD-10, which includes more detailed codes for the conditions they treat and reflects advances in medicine and medical technology.
“ICD-10 codes will provide better support for patient care, and improve disease management, quality measurement and analytics,” said Marilyn Tavenner, Administrator of the Centers for Medicare & Medicaid Services (CMS). “For patients under the care of multiple providers, ICD-10 can help promote care coordination.”
Using ICD-10, doctors can capture much more information, meaning they can better understand important details about the patient’s health than with ICD-9-CM. Moreover, the level of detail that is provided for by ICD-10 means researchers and public health officials can better track diseases and health outcomes. ICD-10 reflects improved diagnosis of chronic illness and identifies underlying causes, complications of disease, and conditions that contribute to the complexity of a disease. Additionally, ICD-10 captures the severity and stage of diseases such as chronic kidney disease, diabetes, and asthma.
The previous revision, ICD-9-CM, contains outdated, obsolete terms that are inconsistent with current medical practice, new technology and preventive services.
ICD-10 represents a significant change that impacts the entire health care community. As such, much of the industry has already invested resources toward the implementation of ICD-10. CMS has implemented a comprehensive testing approach, including end-to-end testing in 2015, to help ensure providers are ready. While many providers, including physicians, hospitals, and health plans, have completed the necessary system changes to transition to ICD-10, the time offered by Congress and this rule ensure all providers are ready.
For additional information about ICD-10, please visit: http://www.cms.gov/ICD10
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