CMS Proposes One Year ICD-10 Compliance Delay

A proposed rule has been released by the Department of Health and Human Services that calls for a one year delay of the ICD-10-CM/PCS compliance deadline.

The rule would push the compliance date from Oct. 1, 2013 to Oct. 1, 2014, according to a Centers for Medicare and Medicaid Services press release.

The announcement was included in a proposed rule that would also require health plans to use a unique health plan identifier. This change, which would be required under HIPAA, is one of several “administrative simplification provisions” called for in the Affordable Care Act that CMS will announce over the next several months.

Currently health plans can be identified using a wide range of identifiers which can cause healthcare providers time-consuming problems “such as misrouting of transactions, rejection of transactions due to insurance identification errors, and difficulty determining patient eligibility,” according to the CMS press release.

The delay of ICD-10 is included in the proposed rule as another administrative simplification provision.
“Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013 compliance date,” the release said. “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.”

AHIMA has voiced concerns about delaying ICD-10, saying that a delay would hamper current implementation efforts and prevent providers from using a superior code set for improving administrative operations and healthcare.

The proposed rule is expected to be officially published in the Federal Register on April 17, after which interested parties would have 30 days to submit comments to CMS.

2 Comments

  1. I do not believe that delaying the implementation date will be of value. I believe that the delay will hamper the progress that has been made by vendors, providers and coders. Significant costs has been incurred and will be lost if a moratorium is placed on the learning process.

  2. In the meantime, what do we teach in the RHIT/RHIA programs for the fall semester 2012? Students graduating in May/June 2013 should be ready to seek, if they so desire, a coding job. If their coursework is only in ICD-10 and, of course CPT, where does that leave them???

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