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AMA will lobby for two-year ICD-10 grace period

Federal officials have stressed there will be no more extensions

Topics: Information Technology, Standards and Regulatory Policy, CMS, CPOE

June 27, 2013

During its annual meeting last week, the American Medical Association's House of Delegates voted to lobby lawmakers and CMS for a two-year grace period to avoid complying with the ICD-10 transition deadline in October 2014.

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.

In August 2012, HHS released a final rule that officially delayed the ICD-10 compliance date until Oct. 1, 2014.

Last week, National Coordinator for Health IT Farzad Mostashari emphasized that there will not be an additional extension of the ICD-10 compliance deadline. However, AMA will continue its efforts to delay the ICD-10 code sets, HIT Consultant Media reports.

During the AMA's proposed two-year flexibility period:

  • Payers would not be allowed to deny reimbursements to providers because of ICD-10 coding errors; and
  • Payers would have to provide feedback on denied claims (Pennic, HIT Consultant Media, 6/21).

Tactics and tips on how to prepare for ICD-10

Stop spinning your wheels, and refocus your ICD-10 preparations.

Senior ICD-10 expert Ed Hock advises on some of the most efficient, seemingly counterintuitive ways to prepare for the upcoming transition.

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