November 10, 2014

Agency Holds National Call to Outline its Own Roadmap for ICD-10 Adoption

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During the Nov. 5 MLN Connects™ national provider call on transitioning to ICD-10, Centers for Medicare & Medicaid Services (CMS) speakers covered a variety of topics, providing very useful information to audience members preparing for the Oct. 1, 2015 compliance date. 

A transcript of the call will be available at a later date, while slides used during the session are available on the MLN Connects website now

Denesecia Green with the CMS Administrative Simplification Group focused her remarks on CMS readiness efforts (including an update on CMS industry partnerships, such as training collaborations with the American Health Information Management Association, or AHIMA, the American Academy of Professional Coders, or AAPC), the Professional Association of Health Care Office Management, or PAHCOM, plus the National Association of Community Health Centers). Green said the purpose of the training arrangement is “to reach small physician practices for information dissemination and ‘boots on the ground’ training.’”

Green also recognized the CMS partnership with the Workgroup for Electronic Data Interchange (WEDI), along with other partners in creating the “ICD-10 Success Implementation Initiative.” 

In addressing the need to get physicians on board with their implementation of ICD-10, Green referenced the CMS tool titled the “Road to I-10.” The tool was designed to help small practice physicians by helping them create their own ICD-10 action plan.

“The Road to ICD-10” resource was highlighted along with a variety of other tools that can be used by the physician community in preparations to meet the compliance date. 

Her slides also included a number of physicians' perspectives on ICD-10. Notable among comments in Green’s presentation were those of cardiologist Mark Bieniarz, MD.

“ICD-10 offers substantial improvement in the ability to recognize significant differences in risk, severity, complexity, co-morbidities, and other key health condition parameters that make big differences in understanding variations in disease patterns and delivered services,” Bieniarz had told CMS. “We want to be evidenced based in the decisions that we make, and better data allows us to take a step in that direction.”

Stacey Shagena of Medicare Contractor Management (MAC) Group also provided an update on the results of acknowledgment testing, highlighting dates for future testing. She also discussed the 2015 end-to-end testing efforts, encouraging audience members to work with their Medicare Administrative Contractors (MACs) to participate in this initiative during testing planned for April and July 2015 (January 2015 end-to-end testing participants received their acceptance documentation in October). 

Pat Brooks of the Hospital & Ambulatory Provider Group used her segment to inform the audience about the upcoming rulemaking timeline for the ICD-10 release of version 33 of MS-DRGs. More information is forthcoming in the 2016 Inpatient Prospective Payment System proposed rule, which is scheduled to be released sometime in April or May 2015. She also provided a refresher on current status of the code freeze for ICD-9 and ICD-10. Joan Proctor with the Chronic Care Policy Group also provided detailed information on the Home Health Prospective Payment system grouper for ICD-10. 

The final presenter, Sarah Shirey-Losso, representing the Provider Billing Group, provided the audience with updates on fee-for-service claims processing, billing, and reporting guidelines under ICD-10. 

Following the insightful presentations, CMS took 20 audience questions, clarifying topics ranging from end-to-end testing to available provider training to NCD/LCD policies and more. 

Individuals with additional questions not covered during the Q&A period can direct them to the following address: .

About the Author

Rhonda Taller, MHA, previously led the ICD-10 efforts for Siemens Healthcare. She also chaired HIMSS ICD-10 Task Force during the 2013-2014 fiscal year and remains an active member of the group. 

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Reference: CMS SLIDE SHOW

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.
Rhonda Taller, MHA

Rhonda Taller, MHA, previously led the ICD-10 efforts for Siemens Healthcare. She also chaired HIMSS ICD-10 Task Force during the 2013-2014 fiscal year and remains an active member of the group.