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BALTIMORE – On the first day of the 30-day comment period associated with the proposed rule to delay ICD-10 implementation by one year, Denise Buenning of the Centers for Medicare & Medicaid Services (CMS) told healthcare providers not to stop their implementation plans. “Do not cut or eliminate your I-10…
I have been working with ICD-10-CM for about two years, creating educational resources and tools. With each ICD-10-CM draft update and with each new educational resource or tool I work on, I learn something new. Most recently I have been reviewing ICD-10-CM Chapter 2: Neoplasms (C00-D49). Last month I provided…
As healthcare payers and providers prepare for ICD-10, a key area of focus involves navigating the switch from ICD-9 diagnosis and procedure codes to the new code set. Converting from one code set to the other is challenging because the sets are so dramatically different. There are few cases in…
On April 9, the Centers for Medicare & Medicaid Services (CMS) announced its proposed switch of the ICD-10 implementation date from Oct. 1, 2013 to Oct. 1, 2014. This delay was premised on three listed considerations: the challenges experienced in the transition to Version 5010, concerns about impact on provider…
If you’re a healthcare professional not living under the proverbial rock, you most likely already are aware that the U.S. Department of Health and Human Services (HHS) has provided some guidance on the much-anticipated revised ICD-10 implementation date. After creating substantial unrest and speculation in February (when HHS announced that…
The Department of Health & Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) understand the difficulties that providers are dealing with to comply with the complexity of required changes to implement the ICD-10-CM diagnosis and PCS coding systems across the healthcare industry. They have reviewed the…
Delay provides opportunity to refocus, prepare, train and get it right.   Wayne, Pa. and Alpharetta, Ga., April 9, 2012—Health and Human Services (HHS) Secretary Kathleen G. Sebelius today announced a proposed rule that would delay the compliance date for the International Classification of Diseases, 10th Edition diagnosis and procedure…
(BALTIMORE: 04/16/12---The ICD-9 code freeze, originally schedule to end Oct. 1, 2014, will be extended for one year if the implementation of the proposed one-year delay of ICD-10 goes into effect.
I had plenty of advance notice to get this article done by my deadline. But I had to catch up on calls I promised to make from the AAPC conference last week. Plus, I had all my normal day-to-day duties to attend to and also had to deal with some…
On Monday, April 9, the U.S. Department of Health and Human Services (HHS) issued proposed rule CMS-0040-P, in which it proposed a one-year delay for implementing ICD-10-CM/PCS. This proposal would extend the ICD-10 compliance date to Oct. 1, 2014 and also mandates a 30-day public-comment period prior to issuance of…
Some of the nation’s leading healthcare authorities and newsmakers will share their insight, perspective and expertise on the timely subject of ICD-10 — specifically, on the new compliance date for implementation — when Talk-Ten-Tuesday hosts Chuck Buck and Kim Charland broadcast live from the AHIMA I-10 Summit on Monday, April…
Reaction was swift and decisive among healthcare leaders following yesterday’s announcement from the Department of Health and Human Services (HHS) that its proposed rule would delay required compliance by one year—from October 1, 2013, to October 1, 2014.
Amid smoldering controversy generated by proponents and opponents, the U.S. Department of Health and Human Services posted a proposed rule today that would move the ICD-10 compliance date from October 2013 to October 2014. In doing so, HHS is soliciting comments for a 30-day comment period.
EDITOR’S NOTE: David Block, MD, PhD, is a featured panelist on Talk Ten Tuesday, the live weekly 30-minute podcast produced by ICD10monitor. Tuesday’s edition was broadcast live from the 20th national AAPC conference in Las Vegas. The following is a transcript of his segment that was heard throughout the convention…
If collaboration among providers, vendors and payers is deferred as a result of the delay of ICD-10 implementation, the light at the end of tunnel could be that of an oncoming train. That was the sentiment expressed by Annie Boynton, director of 5010/ICD-10 communication for UnitedHealthcare, speaking in Las Vegas…
This is the third in a series of articles related to the key changes in the 2012 ICD-10-CM Official Guidelines for Coding and Reporting. I’ll be picking up below where I left off last month, which is with a summary of chapter-specific coding guidelines.
As baseball spring training is already underway, it seems appropriate to quote a New York Yankees Hall of Famer who is widely regarded as one of the greatest catchers in baseball history. Yogi Berra once said “It’s hard to make predictions, especially about the future.” Yogi might be known as…
As baseball spring training is already underway, it seems appropriate to quote a New York Yankees Hall of Famer who is widely regarded as one of the greatest catchers in baseball history. Yogi Berra once said “It’s hard to make predictions, especially about the future.” Yogi might be known as…
Any suggestion that your organization can survive the transition to ICD-10 by insulating your systems and processes should be flatly rejected. The collective solution approaches of payers (commercial and government) and providers (institutional and professional) will drive the operational continuity of the healthcare industry and improve the value we deliver…
I have been working with ICD-10-CM for about two years, creating educational resources and tools. With each ICD-10-CM draft update and with each new educational resource or tool I work on, I learn something new. Most recently I have been reviewing ICD-10-CM Chapter 2: Neoplasms (C00-D49). Last month I provided…
The Centers for Medicare & Medicaid Services (CMS) has announced that the implementation of ICD-10-CM may be delayed beyond the scheduled Oct. 1, 2013 date. Inpatient Rehabilitation Facilities (IRFs) have been getting ready for the implementation of ICD-10-CM through education for hospital departments, physicians, clinicians and coders. Now is not…
The U.S. Department of Health and Human Services (HHS) announcement regarding the possible delay of the ICD-10 implementation date has caused great uncertainty in the industry. It’s truly overwhelming for most, as “Delay, or no delay?” is the question many have asked and grappled with during the last month. The…
The U.S. Department of Health and Human Services (HHS) announcement regarding the possible delay of the ICD-10 implementation date has caused great uncertainty in the industry. It’s truly overwhelming for most, as “Delay, or no delay?” is the question many have asked and grappled with during the last month. The…
Almost anyone who writes about ICD-10 shares the same problem each time they take “keyboard to screen” (no longer “pen to paper,” you see), and that is: What can I possibly write that hasn’t already been written? This problem is aggravated by the fact that, honestly, ICD-10 is really quite…
Almost anyone who writes about ICD-10 shares the same problem each time they take “keyboard to screen” (no longer “pen to paper,” you see), and that is: What can I possibly write that hasn’t already been written? This problem is aggravated by the fact that, honestly, ICD-10 is really quite…
A pathological or fragility fracture is defined as a fracture sustained due to trauma no more severe than a fall from standing height, with the break occurring under circumstances that would not cause a fracture in a normal, healthy bone. In ICD-10-CM there is one code to indicate a personal…
(Scene: A Tuesday evening. The curtain falls on a facilitated dialogue at Tickle Your Palate, a new restaurant and successful venture of local ENTs and their wives who were looking to do something romantic and professional. It’s closed for this private party of the CMC docs. The mediator and Corey…
In our previous article, titled “ICD-10: the Axis of Classification,” we had indicated that one method for preparing your key stakeholders for the transition to ICD-10 was to break ICD-10-CM down into its basic components: chapters and axes of classification. This article will continue that theme by reviewing changes we…
Physician documentation remains a crucial issue among physicians and payers alike, according to panelists appearing on “Live from AAPC” during the 20th national conference of the AAPC going on this week in Las Vegas.
As ICD-10 implementation and other pressures push healthcare providers to pursue outside auditing help, data security and encryption technologies must be part of the equation. Deployment of electronic medical record (EMR) systems, meaningful use, ICD-10 implementation and other regulatory changes add significant complexity to the operating environments in which healthcare…
While some providers in the healthcare industry breathe a sigh of relief in the wake of the news that ICD-10 implementation likely will be delayed beyond the original launch date of Oct. 1, 2013, others view the sudden lull as a golden opportunity to sprint ahead of the field in…
Some of the nation’s most respected healthcare thought leaders will share their insights during a series of live broadcasts originating during the AAPC 20 national conference in Las Vegas, April 2 through 4 being produced by ICD10monitor.com. The live broadcasts begin Monday, when the long-running Monitor Monday takes to the…
EDITOR’S NOTE: The following is the first in an occasional series of articles about what providers should be doing in the interim as CMS re-examines the timeline for the implementation of ICD-10.   “Data is the new bottom line for organizations. Management of data will determine success or failure in…
Don’t expect another extension for 5010 compliance, advises Denise Buenning, director of the administrative simplification group at CMS’ Office of E-Health Standards and Services. “Once this current period expires, there won’t be a predisposition to another extension,” said Buenning during an interview on yesterday’s Talk-Ten-Tuesday, ICD10monitor.com’s live weekly podcast. Buenning…
EDITOR’S NOTE: This is the fifth article in a series addressing the definitions and differences between the Medical and Surgical Root Operations of ICD-10-PCS. As usual, let’s review what we have covered so far. In the Medical and Surgical section (first character 0) there are 31 root operations using standardized…
The neoplasm chapter in ICD-10-CM has undergone some significant changes. Just as in ICD-9-CM, neoplasms are classified primarily by site and behavior (benign, carcinoma in-situ, malignant, uncertain behavior and unspecified). However, in ICD-10-CM there are additional classifications that are now grouped by morphology (histologic type). Therefore, selecting the most specific…
Even under the best of circumstances, change is hard. That’s why it is not surprising that there is mixed reaction to the announcement from U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius that the federal government may delay the implementation of ICD-10. The American Medical Association (AMA)…
Well, the battle lines are drawn. The implementation of ICD-10 was set for Oct. 1, 2013, but several professional organizations requested that it be deferred and Acting Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner announced that the agency will, in fact, modify its timeline for ICD-10 implementation.…
This is the second in a series of articles related to the key changes in the 2012 ICD-10-CM Official Guidelines for Coding and Reporting. I’ll be picking up below where I left off last month, which is with a summary of chapter-specific coding guidelines.
To the Editor: Many articles are being written about the potential ICD-10 deadline delay. As a “road warrior” addressing hundreds of physician organizations across the country, I want to share my observations. Of course, the “elephant in the room” is the looming presence of uncertainty and questions about what to…
CMS is announcing that it will not initiate enforcement action for an additional three months, through June 30, 2012, against any covered entity that is required to comply with the updated transactions standards adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Rather than focusing on the question of what the Centers for Medicare & Medicaid Services (CMS) will do and when will it do it, providers, vendors, and payers should consider another question: “What should we be doing to position ourselves so that we can hit the ground running when CMS…
Despite the possible implementation delay of ICD-10, your organization should continue to work on preparing for the new code sets. Even if your organization hasn’t completed a full ICD-10 assessment, you can check some things off your to-do list now. For example, you can review current encounter forms and electronic…
In a previous article titled ICD-10: the Axis of Classification, I discussed a particularly simple method for preparing your key stakeholders for the transition to ICD-10. The method consists of breaking ICD-10-CM down into its basic components: chapters and axes of classification. This article continues that theme in reviewing the…
ICD-10-CM category R83–R89 codes classify abnormal findings on examination of “other” body fluids, substances and tissues, without diagnosis. Laboratory testing is performed on many types of body fluids other than blood, because samples such as urine, semen and amniotic fluid can provide more definitive diagnostic information.
Waffling seems to be the norm these days… At a macro level, HHS/CMS is waffling on the already-pushed-out-once implementation date for ICD-10, causing a lot of confusion and unrest among participants in ICD-10 remediation programs. Concurrently, and not necessarily in relation to recent governmental machinations, we’ve been seeing some waffling…
Waffling seems to be the norm these days… At a macro level, HHS/CMS is waffling on the already-pushed-out-once implementation date for ICD-10, causing a lot of confusion and unrest among participants in ICD-10 remediation programs. Concurrently, and not necessarily in relation to recent governmental machinations, we’ve been seeing some waffling…
Over the past few weeks, all of us received the surprising news from Centers for Medicare and Medicaid Services (CMS) Acting Administrator Marilyn Tavenner and Health and Human Services Secretary Kathleen Sebelius about the intent to revisit the timeline for transitioning from ICD-9 to ICD-10. As always, we monitor CMS,…
Lyman Sornberger, Cleveland Clinic Health System, and Dennis Winkler, BlueCross/BlueShield of Michigan, to co-present Representatives of two major U.S. healthcare entities have been tabbed to present a live, one-hour news webcast to help providers and payers deal with the news from both the Centers for Medicare & Medicaid Services (CMS)…
During the last few years most of us have had the Oct. 1, 2013 ICD-10 implementation date ringing in our ears. It was our understanding, whether we were vendors, educators, early adopters, consultants, or payers, that CMS was standing firm with the date and not looking back. As far as…
During the last few years most of us have had the Oct. 1, 2013 ICD-10 implementation date ringing in our ears. It was our understanding, whether we were vendors, educators, early adopters, consultants, or payers, that CMS was standing firm with the date and not looking back. As far as…
Like most people past middle age, I have certain hobbies that remind me of my childhood. I ride a Schwinn mountain bike (one of the first, and carefully maintained) and the black Harley Trike I’ve mentioned before. I also listen to classical/rock/pop/adult contemporary/country music, and play four instruments, none very…
Like most people past middle age, I have certain hobbies that remind me of my childhood. I ride a Schwinn mountain bike (one of the first, and carefully maintained) and the black Harley Trike I’ve mentioned before. I also listen to classical/rock/pop/adult contemporary/country music, and play four instruments, none very…
Don’t wait for the Centers for Medicare & Medicaid Services (CMS) to make its decision about the implementation date for ICD-10, advises David Sayen, a CMS regulatory director.  “Even if I-10 is delayed, keep on course,” he said, and make sure things are functioning properly. That’s the advice Sayen offers…
Don’t wait for the Centers for Medicare & Medicaid Services (CMS) to make its decision about the implementation date for ICD-10, advises David Sayen, a CMS regulatory director.  “Even if I-10 is delayed, keep on course,” he said, and make sure things are functioning properly. That’s the advice Sayen offers…
“We don’t have the luxury of waiting to see what CMS [Centers for Medicare & Medicaid Services] will do” about the delay, and the “we” in that sentence applies to everyone involved in ICD-10 transition, including providers, payers and vendors,” Annie Boynton, director, 5010/ICD-10 Communications, UnitedHealth Group, told listeners during…
What are providers, payers, suppliers and clearinghouses doing in the wake of the unexpected announcement by the Department of Health & Human Services (HHS) that it plans to delay implementation of the ICD-10 system?
The United States is one of the last economically developed nations to transition from ICD-9 to the International Classification of Diseases, 10th Edition, also known as ICD-10. The transition is no small task. On Oct. 1, 2013, our country will begin using the most comprehensive coding system in the world,…
EDITOR’S NOTE: This is the fourth in a series of articles addressing the definitions and differences between the Medical and Surgical Root Operations of ICD-10. This is the fourth in a series of articles addressing the definitions of, and differences between, the Medical and Surgical Root Operations of ICD-10-PCS. Let’s…
EDITOR’S NOTE: This is the fourth in a series of articles addressing the definitions and differences between the Medical and Surgical Root Operations of ICD-10. This is the fourth in a series of articles addressing the definitions of, and differences between, the Medical and Surgical Root Operations of ICD-10-PCS. Let’s…
“To use GEMs, or not to use GEMs?” That is a question posed by many ICD-10-minded people these days. To address this issue, let’s take a look at what GEMs are not. Experts are recommending that GEMs not be used as a primary coding resource or used to code current…
EDITOR’S NOTE: This is the first in of a series of articles addressing the facts, adoption, implementation and the interconnectivity of ICD-10 and Meaningful Use Meaningful use is a topic being discussed everywhere in healthcare today. The Medicare and Medicaid electronic health record (EHR) incentive programs are providing major financial…
On Nov. 15, 2011 the American Medical Association (AMA) House of Delegates did a major disservice to its members and to the quality of healthcare in the United States. The delegates voted to recommend stopping the implementation of ICD-10, a concept inconsistent with quality medicine and beyond the scope of…
EDITOR’S NOTE: Several weeks ago, Dr. David Block delivered to physicians a stirring message that generated considerable comment. For those of you who asked for a transcript, we are pleased to provide the following from his segment on the Feb. 7 edition of Talk-Ten-Tuesday. Let’s change the focus of the…
The transition to ICD-10-CM/PCS, encompassing both diagnosis and procedure coding, is the biggest change in the United States healthcare system that most of us can remember or have experienced in our careers. Not even with Y2K and HIPAA regulations have we seen this wide or this deep an impact –…
Just two days after Centers for Medicare and Medicaid Services acting administrator Marilyn Tavenner signaled the agency would re-examine the timeline for transitioning from ICD-9 to ICD-10, the Department of Health and Human Services (HHS) announced that it would initiate the rulemaking process to postpone the date for implementation of…
February 16, 2012

HIMSS WEEK 2012

By
  ICD-10: What Just Happened?Live Reports from HIMSS in Las Vegas Tuesday, Wednesday and ThursdayFeb. 21, 22, 23, 201210/9C
Modern Healthcare today is reporting that Acting CMS Administrator Marilyn Tavenner says the CMS will reexamine its timeline for ICD-10 implementation. Tavenner, according to the report, was speaking this morning before the American Medical Association’s Advocacy Conference in Washington, D.C. when she told reporters that CMS would “reexamine the timeframe.”…
A stellar lineup of healthcare thought leaders will appear on three live half-hour ICD10monitor.com podcasts during the Healthcare Information and Management Systems Society’s annual conference and exhibit Feb. 21, 22 and 23 in Las Vegas.
Against the backdrop of rumblings about halting the implementation of ICD-10-CM/PCS, 69 percent of Talk-Ten-Tuesday listeners said this week that they were against postponement of the new code set mandated to take effect in October 2013.
As soon as providers and vendors get over the hurdle of the version 5010 implementation, "We’ll see that everyone’s time and attention will turn to I-10. …They’ll be able to focus on the real work of implementation." That’s what Denise Buenning, director of the administrative simplification group in the Centers…
There are a growing number of pathogenic microorganisms that are resistant to some or all of the drugs previously used to treat the infections they cause. Until the 2012 ICD-10-CM draft version was released, drug-resistant infections were captured with a single code: Z16, Infection with drug-resistant microorganisms. Even Methicillin-resistant Staphylococcus…
What’s Happening? Everyone working on ICD-10 preparedness in any capacity fits into one of two groups: Group 1 includes those who have thought “I will be so glad when this is done and ICD-10 is all there is!” Group 2 includes those who have not thought this. Typically, the group…
What’s Happening? Everyone working on ICD-10 preparedness in any capacity fits into one of two groups: Group 1 includes those who have thought “I will be so glad when this is done and ICD-10 is all there is!” Group 2 includes those who have not thought this. Typically, the group…
EDITOR’S NOTE: David Block, physician, mediator and erstwhile playwright, continues with Act II of his “The ICD-10 Tale.” Act I has been archived and can be accessed using the Search button on the ICD10monitor home page. Act II, Scene 1: (The scene: It’s Tuesday night at the meeting room of…
ICD-10-CM category L89 codes classify pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers. Pressure ulcers are wounds caused by unrelieved pressure on the skin. These ulcers are localized injuries affecting skin and underlying tissues, representing trauma associated with pressure and also friction, immobility, poor nutrition, hard…
I have been meaning to respond to a lot of articles concerning the ICD-10 conversion and meaningful use in the EHR arena, but I felt it would not necessarily engender any useful outcome. After 40 years in the industry, however, I decided I might have as much of a right…
In the second of two salvos directed at the federal government’s mandated implementation of ICD-10 and HIPAA Version 5010, the Medical Group Management Association demanded this week that the U.S. Department of Health and Human Services correct disruptions to physicians receiving payments, a result of the new electronic transmission set.…
Citing “significant burdens on the practice of medicine with no direct benefit to individual patient care,” James Madara, MD, executive vice president and CEO of the American Medical Association, is urging Congress to stop the implementation of ICD-10 mandated for all HIPAA-covered entities by October 2013.
By Chuck Buck and Janis K. Oppelt WASHINGTON, D.C. – In describing his blueprint for America’s future by emphasizing domestic energy production, technology and manufacturing, President Barack Obama in his State of the Union address Tuesday night failed to mention one of his signature domestic achievements – healthcare reform –…
Despite his lost last Saturday in South Carolina, a week ago last Tuesday, former Massachusetts Gov. Mitt Romney won the New Hampshire GOP primary, capturing 39.4 percent of the vote in an accomplishment many political observers credited to the candidate's use of data analytics to weed out voters unlikely to…
Recently I was addressing a group of healthcare dilettantes to discuss the impending transition from ICD-9 to ICD-10 and the various processes, staff resources and impact areas expected to be affected by the changeover within the physician practice setting. One person rather abruptly raised his hand and emphatically blurted "Can…
Recently I was addressing a group of healthcare dilettantes to discuss the impending transition from ICD-9 to ICD-10 and the various processes, staff resources and impact areas expected to be affected by the changeover within the physician practice setting. One person rather abruptly raised his hand and emphatically blurted "Can…
EDITOR’S NOTE: This is the third in a series of articles addressing the definitions and differences between the Medical and Surgical Root Operations. Let's review what we covered so far. In the Medical and Surgical section (first character 0), there are 31 root operations using standardized terminology with no procedure…
When an organization brings us in to talk about ICD-10-CM, someone invariably asks why "how to register for and receive EHR government Incentive money" is part of the planned agenda. Well, for one thing, talking about accessing up to $63,750 per provider is fun. Everyone wants to hear about "free…
When an organization brings us in to talk about ICD-10-CM, someone invariably asks why "how to register for and receive EHR government Incentive money" is part of the planned agenda. Well, for one thing, talking about accessing up to $63,750 per provider is fun. Everyone wants to hear about "free…
As a heightened awareness and acceptance of our inevitable transition to ICD-10 develops, many of you may be wondering how to approach the task of preparing your key stakeholders, coders, clinical documentation specialists and providers for the change. Certainly we all realize the need for additional education, but just where…
Here's a top 10 list of things to think about this coming month to get you moving in the right direction. 1. Have a formalized plan. If you do not have a documented project plan with assigned responsibilities, milestones, resource needs, etc., you do not have a formalized plan. 2.…
Here's a top 10 list of things to think about this coming month to get you moving in the right direction. 1. Have a formalized plan. If you do not have a documented project plan with assigned responsibilities, milestones, resource needs, etc., you do not have a formalized plan. 2.…
By now we all should be aware that the transition to ICD-10-CM/PCS will be a significant event that will impact not just technology, but processes across entire organizations for providers and payers alike. As we prepare for this event it will be important for organizations to understand the projected impact…
Seventy-one percent of respondents to a recent online poll reported that they are using 5010 with more than half of their payers and providers. The poll – which asked the question “Which of the following best describes your status with 5010 use as of 2012?” – was conducted during Talk…
Denise Buenning, Director of Administrative Simplification Group, at the Centers for Medicare & Medicaid Services (CMS)’ Office of E-Health Standards and Services, is scheduled to appear on Talk-Ten-Tuesday tomorrow (Jan. 10, 2012) when the live podcast airs at 10 a.m. eastern.
I was in a planning meeting this morning – a joyful, exuberant, bi-weekly event designed to maximize performance from developers and analysts alike – and someone raised this question: “Is there a crosswalk we can use to price Medicaid claims?” The inquirer was referring to an ICD-10-to-ICD-9 “back” crosswalk with…
I was in a planning meeting this morning – a joyful, exuberant, bi-weekly event designed to maximize performance from developers and analysts alike – and someone raised this question: “Is there a crosswalk we can use to price Medicaid claims?” The inquirer was referring to an ICD-10-to-ICD-9 “back” crosswalk with…
I know that coders are feeling a little overwhelmed by the prospects of having to learn not one, but two completely new coding systems: ICD-10-CM for diagnoses and ICD-10-PCS for procedures. In this article I want to discuss some ways that we as individual coders can make the transition to…
"Hepatitis" means inflammation of the liver, and the term also refers to a group of viral infections that affect the liver. The most common types are Hepatitis A, Hepatitis B and Hepatitis C.