CMS News Update: ICD-10

News Updates | July 31, 2014

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 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.

For more information on the rule, view the press release.

ICD-10 Compliance

ICD-10 Compliance Date

On April 1, 2014 the Protecting Access to medicare Act of 2014 (PAMA)(Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015.  Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015.

July ICD-10 End-to-End Testing Canceled: Additional Testing Planned for 2015

CMS planned to conduct ICD-10 testing during the week of July 21 through 25, 2014, to give a sample group of providers the opportunity to participate in end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The July testing has been canceled due to the ICD-10 implementation delay. Additional opportunities for end-to-end testing will be available in 2015.

Study of Duplicate CT Scans Show Promise of Health Information Exchange

Conservative estimate shows a potential savings of $1.3 million to Western New York’s health system

Executive Summary

HEALTHeLINK works with health care providers throughout Western New York to help enhance patient outcomes and control costs through the utilization of a health information exchange (HIE). Through the HIE, providers can see what tests have been performed on their patients. This particular function of the HIE can help providers avoid ordering what may be potentially unnecessary duplicative tests, saving money and improving patient safety if the required test involves exposure to radiation (read more…)

Santa Cruz HIE Making the Headlines on Patient Engagement

National Association for Trusted Exchange on Fast Track to Facilitate Electronic Clinical Data Exchange Between Patients and Providers.  The project, underway in California, Alaska and Oregon, is working to overcome physicians’ concern that so-called “patient mediated exchange” may not be complete or accurate. It is aimed at ensuring that providers can successfully transfer medical data into a patient-controlled PHR, and that other physicians on the patient’s care team can trust information sent to them from the patient’s PHR.  “In just over 30 days we brought together a broad group of stakeholders and rapidly developed a baseline approach that balances easy consumer access to data with the privacy and security safeguards necessary for trusted exchange,” Seib said. “In the next phase, we want to engage additional PHR vendors and health care and health information exchange organizations to continue working on the baseline and update it with lessons learned.”  20131211 – NATE PHR Milestone Press Release

Patient Engagement Presentation