Health Information Management

Another ICD-10 bill hits Congress

HIM-HIPAA Insider, May 18, 2015

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Congress is getting involved in the ICD-10 transition again with a new bill introduced into the House of Representatives May 12.

The good news is H.R. 2247, Increasing Clarity for Doctors by Transitioning Effectively Now Act (ICD-TEN Act), would not change the October 1, 2015 implementation date or require payers to accept both ICD-9 and ICD-10 coded claims. Rather, the bill would require CMS to conduct 18 months of end-to-end testing open to all providers to determine whether the fee-for-service claims processing system works with ICD-10.
It’s interesting to note that the bill only mentions fee-for-service payments—basically physician practices. Both inpatient and outpatient facilities are paid under a prospective payment system.
During the transition period and any ensuing extensions, CMS could not deny reimbursement only because of the “use of an unspecified or inaccurate subcode,” according to the bill.
The AMA has previously pushed for a similar guarantee, but so far, CMS isn’t going for it.
Rep. Diane Black, R-Tennessee, introduced the bill, which currently has three co-sponsors. It is competing with H.R. 2126, introduced by Rep. Ted Poe, R-Texas. Poe’s bill, however, would kill ICD-10.
This article originally appeared on HCPro’s ICD-10 Trainer blog.

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