Coding > Coding
ICD-10 DELAY coming.. just like I said it would
PMRNC:
http://www.c-span.org/video/?318581-1/us-senate-legislative-business
Live. Watch now.
Remember ICD-10 is only small portion of what they are voting on. The SGR can technically WAIT till next week due to the Medicare claims hold.. so I bet they magically run out of time.
--- Quote ---I'm thinking it was the Republicans in the House who pushed this delay through, not the Democrats.
--- End quote ---
I said SNEAKY was the middle name of the Obama Administration. Not sure it matters if it was a Republican or Democrat. Personally I'd rather delay then face the denials we are going to be facing. As someone who's worked at a few health insurance carries, I can assure you they were relying ONLY on computer edits. And again..they SNUCK the ICD-10 delay into the major factors like the SGR.. so it will be delayed as PART of the whole package.
RichardP:
Senate passed and sent to President for signature.
http://thehill.com/blogs/floor-action/senate/202235-senate-sends-doc-fix-to-obama
PMRNC:
Yep.. praise the new band-aid. LOL
ICD-10 delayed
Mental health reform passed.
what a week and it's only Monday. LOL
SnyderKristine:
This news has made my day.. Yeah I know I am little a non-patriotic this time but ICD-10 was giving me a hard time...Phewww! ::) ::) ::) ::) ::)
HeidiK:
Good Morning!
Yesterday's vote was a huge disappointment for some and and the same time others a breathing a huge sigh of relief! I was extremely happy to see so much activity and passion on both sides! Never in my life did I think I'd enjoy watching a Senate vote on CSPAN - it was like watching the Superbowl! ;D
The passing of H.R. 4302 represents many important issues. Hospitals and providers will not experience a 24% pay cut, Medicare Advantage Plans for special needs individuals are extended as well as extension of the two-midnight-rule; Special Diabetes Programs; home visits for maternal, infant and early childhood home visit programs and skilled nursing facility value-based purchasing among others. These issues affect the immediate needs of a staggering number of people and in a democracy, majority typically stands to rule.
Other issues which were included in this bill were items which have more of a long-term effect in my opinion, and do not represent quite as many people such as elimination of limitations on deductibles for employer-sponsored health plans. This was not specifically mentioned during the debates however, I believe many people will be surprised when they choose a seemingly low-cost option not realizing they may have a $20,000+ deductible. There was also a delay for the effective date for Medicaid amendments relating to beneficiary liability settlements which a fair number of people were counting on so they could plan to file their potential claims or not.
Obviously, I was interested in the provision which was only added to the bill two nights before the vote, delay of ICD-10. I believed it would go forward this year because it was originally recommended in 2003 and new drafts were available for public comment every year from 2007-2014. This delay affects so many hospitals, providers, insurance carriers, health IT workers, HIM professionals, colleges and universities who have invested billions in dollars as well as countless hours preparing. Over 25,000 HIM graduates have only received ICD-10 training for their degree, ICD-9 was mentioned in a historical sense.
Imagine their worry about getting a job as a new grad anyway, and now they don't even have a skill for immediate use. IF ICD-10 goes into effect in 2015, they will require additional training to refresh their knowledge along with all the others who are already dual-coding or recently certified (including me!).
Many future population health programs currently being designed were depending on ICD-10 due to it's accuracy and specificity. Those have all been put off indefinitely as well.
For me personally, I am disappointed. On the other hand, there are many opportunities to really educate private practice offices and others so ICD-10 might go into effect next year. It's not just a new coding set for reimbursement, you can follow these links if you are interested in understanding the many areas clinical data might improve healthcare overall.
Study on how clinicial data can change healthcare
http://www.ncbi.nlm.nih.gov/books/NBK54296/
Is Technological Change Worth It In Medicine?
http://m.content.healthaffairs.org/content/20/5/11.full
I made many new connections over the last few days and I have to admit, it was interesting to develop "virtual" relationships with others who shared my passion about ICD-10. During the final hour when the vote was actually taking place, the editor of Government Health IT, Tom Sullivan and I were private messaging each other on Twitter trying to determine if President Obama could issue a line-item veto!
All in all, much more work lies ahead for all of whether it is ICD-10 related or not. I'm just happy to be involved in healthcare during this challenging transition towards true quality care for patients.
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