- 2013 IHIMA Release of Information Guide
- AHIMA Advocacy & Public Policy Center
- Federal Register
- Indiana Register
One Year Delay on ICD-10 to October 2014 Finalized
The federal government has finalized a one-year delay in the compliance deadline for the nationwide conversion to ICD-10 code sets. The delay, first proposed in April, will move the compliance deadline to Oct. 1, 2014.
HHS said the extra time would allow healthcare organizations-small organizations in particular-adequate time to get ready for the changeover.
“By delaying the compliance date of ICD-10 from October 1, 2013, to October 1, 2014, we are allowing more time for covered entities to prepare for the transition to ICD-10 and to conduct thorough testing,” HHS said in the rule. “By allowing more time to prepare, covered entities may be able to avoid costly obstacles that would otherwise emerge while in production.”
HHS included the change in a 208-page final rule establishing a unique health plan identifier for all insurers. In a news release on the CMS’ website announcing the rule, HHS said the identifier-along with other administrative simplification regulations included in the healthcare reform law-will save the healthcare system an estimated $6 billion over the next decade.
HHS Proposes One-Year ICD-10 Delay
The Department of Health and Human Services (HHS) issued on Monday a notice of proposed rulemaking (NPRM) to delay the final compliance date for ICD-10-CM/PCS by one year, from October 1, 2013, to October 1, 2014. Once the proposed rule is officially published in the Federal Register (expected to be April 17), there will be a 30-day comment period. AHIMA will be submitting a formal comment letter and encourages members to submit comments as well, either directly via one of the mechanisms indicated in the proposed rule or via AHIMA’s Advocacy Assistant.
AHIMA Submits Comments on C&M Procedure Code Proposals
AHIMA submitted comments to the Centers for Medicare & Medicaid Services on ICD-9-CM procedure code proposals presented at the March ICD-9-CM Coordination and Maintenance (C&M) Committee meeting. These code proposals, if approved, would go into effect October 1, 2012. These code proposals are the only ones presented at the March C&M meeting that would go into effect during the partial code set freeze. The other code proposals presented at this meeting pertained to ICD-10-CM and would not go into effect until after the code set freeze. AHIMA will submit comments on these proposals at a later date.
Click here to read AHIMA’s comments on the ICD-9-CM procedure code proposals.
AHIMA Action Alert: Help Stop Intent to Delay ICD-10
AHIMA is urging the AHIMA membership to visit the Action Center of the AHIMA Advocacy Assistant and join AHIMA in expressing your disappointment and concerns to the CMS Acting Administrator Marilyn Tavenner and the Secretary of Health and Human Services Kathleen Sebelius on their announcement of an intent to delay the October 1, 2013, compliance date for ICD-10 CM and PCS. The Department of Health and Human Services still intends to announce a regulatory process concerning the potential delay. Once this occurs, AHIMA will be providing formal comments on this matter and will certainly be seeking your input and action. As this situation evolves AHIMA will be continuing to gather information and working with its alliance partners to insure HHS hears the entirety of the health information management and technology community. The draft AHIMA letter is completely editable by you, the sender. We are requesting that you review this letter and make it relevant to your own organization’s experience with ICD-10. Your experiences will be critically important in showing the Secretary of HHS all of the implementation work that has already taken place in organizations. There are several leading sentences in the letter that will help describe the types of information we are seeking and that will require your input—your personal ICD-10 experiences. These areas are in parentheses. If you have nothing to add in those sections, please remove them from the letter. Again, any personal input concerning your experiences with ICD-10 implementation that you can provide will extremely helpful to our efforts. If you do not have any of those experiences, please remove those portions of the letter that ask for your information. We are also asking you to print a copy of your letter and send it to your senators and representatives and the regional Department of Health and Human Services office. The addresses for your senators and representatives can be found in the Advocacy Assistant. The HHS regions and addresses are listed below:
Region 1 – Boston
Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont Government Center John F. Kennedy Federal Building Boston, MA 02203
Region 2 – New York
New Jersey, New York, Puerto Rico, and the Virgin Islands Jacob K. Javits Federal Building 26 Federal Plaza New York, NY 10278
Philadelphia, Delaware, District of Columbia, Maryland
Legislative Update: CMS Announces Enforcement Delay for HIPAA Upgrade
The Centers for Medicare and Medicaid Services (CMS) announced November 17 that it will hold off for 90 days on enforcement actions on non-compliance with the HIPAA upgrades that are effective January 1, 2012. As of January 1, HIPAA-covered entities are to be using the Accredited Standards Committee (ASC) X12 Version 5010 transactions or National Council for Prescription Drug Programs (NCPDP) Version D.0. The CMS announcement means that, in its role of overseeing the HIPAA transactions, CMS will not begin to level fines or take other action until March 31, 2012—three months after the compliance date.
The CMS announcement does not prohibit health plans from denying transactions that are not in the new version. However, the electronic data interchange (EDI) structure does allow receivers to accept an older version (for example, a partner up to speed on 5010 can accept 4010). CMS did not indicate if it would reject version 4010 claims (X12-837). CMS also did not address the problems that providers who are not ready for version 5010 will have in accepting 5010 remittance and payment transactions (X12-835).
While the potential exists for the industry to use both versions 4010 and 5010, this solution will not be possible for the ICD-10-CM/PCS conversion in 2013, and CMS has been clear that this change will not affect the ICD-10 compliance deadline.
Legislative Update: AHIMA Comments on IOM Report on Health IT
AHIMA calls for national dialogue between all stakeholders to address the recommendations made in the Institute of Medicine’s (IOM) report, “Health IT and Patient Safety: Building Better Systems for Safer Care.” Read the complete statement here. As a result of AHIMA’s timely response to the IOM report, the association was well represented in the media on this important issue. A couple examples include AHIMA’s Practice Resources Director Lou Ann Wiedemann, MS, RHIA, FAHIMA, CPEHR, interview with the Wall Street Journal; and AHIMA’s director of Practice Leadership Michelle Dougherty, MA, RHIA, CHP, commented on the issue in SearchHealthIT.
Legislative Update: Homeland Security Act, Patriot Act, Freedom of Information Act, and HIM
Looking for more information on the Freedom of Information Act? Check out the Practice Brief in the Body of Knowledge on the AHIMA Web site! The brief is a review and comparison of the Homeland Security, Patriot, and Freedom of Information Acts. It also includes information about the mandatory reporting of health information and an overview of syndromic reporting (a new form of mandatory reporting). Be sure to also read the tips on how to incorporate these acts into the workplace. This practice brief provides a great refresher on protecting patient privacy, so check it out today!