Senate Passes ICD-10 Delay Bill | Journal of AHIMA | CPC …

The Senate voted today to approve a bill that will delay the implementation of ICD-10-CM/PCS by at least one year. The bill now moves to President Obama, who is expected to sign it into law. The bill was passed 64-35 at 6:59 pm ET on Monday, March 31.

463105901The bill, H.R. 4302, Protecting Access to Medicare Act of 2014, mainly creates a temporary “fix” to the Medicare sustainable growth rate (SGR). A seven-line section of the bill states that the Department of Health and Human Services (HHS) cannot adopt the ICD–10 code set as the standard until at least October 1, 2015. The healthcare industry had been preparing to switch to the ICD-10 code set on October 1, 2014.

In a statement on the Senate vote, AHIMA officials said they will work to clarify outstanding questions raised by the delay and continue to work with government officials to implement ICD-10.

“On behalf of our more than 72,000 members who have prepared for ICD-10 in good faith, AHIMA will seek immediate clarification on a number of technical issues such as the exact length of the delay,” said AHIMA CEO Lynne Thomas Gordon, MBA, RHIA, CAE, FACHE, FAHIMA. “AHIMA will continue our work with various public sector organizations and agencies such as the Centers for Medicare and Medicaid Services (CMS), the Office of the National Coordinator for Health IT, and the National Center for Health Statistics (NCHS) along with our industry partners such as the ICD-10 Coalition so that ICD-10 will realize its full potential to improve patient care and reduce costs. These are goals that AHIMA and other healthcare stakeholders and our government leaders all share.”

Since the transition to ICD-10 “remains inevitable and time-sensitive because of the potential risk to public health and the need to track, identify, and analyze new clinical services and treatments available for patients,” AHIMA said in a statement the organization will continue to lend technical assistance and training to stakeholders as they are forced to navigate the challenge of preparing for ICD-10 while still using ICD-9.

Thousands of AHIMA members and ICD-10 proponents contacted their congressional representatives and senators over the last week asking them to vote against the SGR bill and not delay ICD-10.

Congress Working Against SGR ‘Fix’ Deadline

Congress was working against a deadline of today, March 31, to reform or “fix” the SGR before it directly impacted physician payment. Without a fix to the SGR formula, Medicare physicians faced a 24 percent reimbursement cut beginning April 1. H.R. 4302, introduced by House Representative Joseph Pitts (R-PA), will replace the reimbursement cut with a 0.5 percent payment update through the end of 2014 and a zero percent payment update from January 1, 2015 to March 31, 2015.

Physician groups, including the American Medical Association and a coalition of nearly 90 state and national medical societies, have come out against H.R. 4302 since it does not provide a long-term solution to the SGR issue. The insertion of the ICD-10 delay section into H.R. 4302 was likely done to placate physicians who are against an SGR patch. The AMA has said they are against moving to ICD-10 entirely.

The original House bill was negotiated at the senior leadership level and quickly pushed through the House on March 27 via a voice vote, where no roll call was taken, no votes were tallied, and with the majority of representatives still out on a previously called recess.

“There’s no integrity in what we’re getting ready to vote on,” remarked Senator Tom Coburn (R-OK) as he spoke against passage of the bill despite the pressing deadline. Drawing a comparison with the principles of medicine that you don’t treat symptoms but instead treat the disease, Coburn also noted that the continued passage of SGR patches represents a corruptible process that hides truth from the consumer and demonstrates a lack of transparency from Congress. Coburn also displayed a poster that he said characterized Congress’s current methods during his speech that read “Put Off Until Tomorrow What You Should Be Doing Today.”

On Monday Senate Finance Chairman Ron Wyden (D-OR) did introduce a new SGR bill, S. 2157, that did not include the ICD-10 delay provision and would have addressed not just a “fix” for SGR but wider reform. However, Sen. Jeff Sessions (R-AL) objected to voting on S. 2157 and instead proposed the Senate vote on S. 2122, a SGR reform bill introduced on March 12 and sponsored by Sen. Orrin Hatch (R-UT) that would also repeal the individual insurance mandate of the Affordable Care Act. This vote was also objected to by senators, who in the end voted on H.R. 4302 which put off larger SGR reform to the future and delayed ICD-10 for at least one year. This legislation will become the 17th patch of the SGR since 1997.

This is the second time ICD-10 implementation has been delayed. The original compliance date of October 1, 2013 was officially pushed back a year on September 5, 2012 by CMS, who noted in their ICD-10 delay final rule that “some provider groups have expressed strong concern about their ability to meet the October 1, 2013 compliance date and the serious claims payment issues that might ensue if they do not meet the date.”

But this recent legislative call for a delay likely came as a surprise to CMS. On February 27 CMS Administrator Marilyn Tavenner announced at the Health Information and Management Systems Society Annual Conference that ICD-10 would not be delayed any further, stating “we have already delayed the adoption standard, a standard the rest of the world has adopted many years ago, and we have delayed it several times, most recently last year. There will be no change in the deadline for ICD-10.”

Impact of Delay Wide Reaching, Next Steps Unclear

The impending delay of ICD-10 raises a vast slate of questions for coding professionals, provider administrators, education entities, and even the federal government. The focus will likely turn to CMS, who will need to provide the healthcare industry guidance on the exact new implementation deadline and how to move forward.

The delay of ICD-10 impacts much more than just coded medical bills, but also quality, population health, and other programs that expected to start using ICD-10 codes in October. The extent of the logistical challenges and costs associated with “dialing back” to ICD-9-CM are not yet fully understood, AHIMA officials said, but are expected to be extensive.

CMS has estimated that another one-year delay of ICD-10 would likely cost the industry an additional $1 billion to $6.6 billion on top of the costs already incurred from the previous one-year delay.  This does not include the lost opportunity costs of failing to move to a more effective code set, AHIMA said.

Many coding education programs had switched to teaching only ICD-10 codes to students, hospitals and physician offices had begun moving into the final stages of costly and comprehensive transitions to the new code set—even the CMS and NCHS committee responsible for officially updating the current code set changed the group’s name to the ICD-10-CM/PCS Coordination and Maintenance Committee.

The delay directly impacts at least 25,000 students who have learned to code exclusively in ICD-10 in health information management (HIM) associate and baccalaureate educational programs, AHIMA said in a statement.

The United States remains one of the only developed countries that has not made the transition to ICD-10 or a clinical modification. ICD-10 proponents have called the new code set a more modern, robust, and precise coding system that is essential to fully realizing the benefits of recent investments in electronic health records and maximizing health information exchange.

While today’s vote delayed ICD-10 implementation, AHIMA officials said they will continue working to ensure that another delay does not occur legislatively. Over the upcoming weeks, updates will be added to AHIMA’s Advocacy Assistant with instructions on how members can continue to advocate their members of Congress on behalf of ICD-10.

“As demands for quality healthcare data continue to increase, this delay will add an additional significant hurdle for the healthcare system to fill these important HIM positions,” Thomas Gordon said. “It is truly unfortunate that Congress chose to embed language about delaying ICD-10 into legislation intended to address the need for an SGR fix in their effort to temporarily address the long outstanding and critically important physician payment issues.”

 

<!–

–>

How to Prepare for the CPC Exam for AAPC Medical Coding …


Medical-coding-practice-examTo ensure that you can perform all the necessary job requirements out in the medical coding field, the CPC certification examination itself tests for strength in all areas, including the following:

  • Anesthesia
  • Systems of the body
  • Radiology
  • Pathology and laboratory coding
  • Medicine, including injections, psychotherapy, and other office procedures, in addition to heart catheterizations and more
  • Evaluation and management service guidelines, including how to work with new patients, existing patients, consultations, and so on
  • Diagnosis coding
  • Medical terminology

HCPCS codes (which relate to implants, certain biologicals [drugs or vaccines], and other items used in patient care)

Coding guidelines, including bundling and modifier use

A reputable study program prepares you for all these areas so that you can both pass the test and perform well on the job.


To prepare for the exam, take advantage of resources offered by the AAPC. You can purchase CPC-specific study guides through the AAPC website.

The same people who made up the certification examinations prepare these simulated exams. So you’re getting the inside scoop on what to expect in the testing room when you take the sample tests from the AAPC. You can also sign up for an exam review class, sponsored by local AAPC chapters.

Prerequisites and more

Lucky for you, you don’t have to jump through a ton of prerequisite hoops before you sit down to take the CPC certification exam. The organization simply advises you to be academically prepared, but you aren’t required to show proof that you completed a program. Don’t interpret this to mean that you should just forego your education and walk in the testing room without any prior knowledge.

The level of prior experience you have when you take the exam affects the credential you earn. To earn the full CPC designation after passing the CPC examination, you must have experience in coding. If you don’t already have experience, you are eligible for only the apprentice level certification, the CPC-A.

Test specs: Cost, format, and more

Here is the vital info you need to know about the test that you’ll spend countless hours prepping for:

Cost: You may want to start saving your pennies now. The examination cost is $300, which is hardly insignificant, especially if you’re on a student budget. The good news is that, if you’re enrolled in AAPC accredited programs, you qualify for a discounted fee of $260. Students who fail the first test are allowed one retake at no additional cost.

Number and types of questions: The CPC examination consists of 150 multiple-choice questions.

Time: You are allowed 5 hours, 40 minutes to complete the test.

Resources you can use during the test: You are allowed to use approved coding manuals as long as the writing in them (that is, your chicken scratch in the margins) doesn’t contain notes such as word definitions and specialty advice from coding resources. Also, no papers can be taped or pasted inside them.

The books you can use during the test are current year and/or previous year CPT books. You can use only the AMA standard or professional edition — not the expert edition — and no other publisher is allowed.

You can also use officially published errata updates (which list errors in a book and furnish the appropriate revisions). As for ICD and HCPCS books, it’s your call: These books don’t have to be a particular edition or from a particular publisher.

ID: You need a government-issued photo ID.

Receiving scores: After you take the exam, the results are available at your own member area on the AAPC website between 5 to 7 days after the proctor receives them. Hardcopies of the scores are mailed within two weeks of receipt from the proctor. Unfortunately, you can’t get your results by phone.

——————————————————

Prepare For The Medical Coding Certification Exam Here!

Originally published on: Dummies.com

Follow Medical Coding Pro on Twitter: www.Twitter.com/CodingPro1



Related Posts Plugin for WordPress, Blogger...

CPC Practice Exam – CbTopSellers.com | CPC Coding Exam …

CPC Practice ExamClick Image To Visit SiteOr are you one of the many people who FAILED the exam the first time, and are now looking to retake the test, perhaps for the third or fourth time?

As soon as the 2014 coding books were released in late 2013, we went over the entire test with a loupe to make sure all the codes referred to in the answer key hadn’t changed since last year. The test is now fully updated for 2014.

Already know our CPC medical coding practice exam is exactly what you need? Please click here to place your order.

AAPC’s CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes.

Questions on the CPC exam do not cover just specific medical codes. Questions can be very diverse, testing the examinees knowledge on:

We have taken into account the wide spectrum of diversity the CPC exam offers and have constructed the questions on our CPC Practice Exam to reflect those on the actual exam as closely as possible.

In addition to our well constructed questions we are also providing a full rationale for each question.

These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located.

Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam.

a. The removal of the fallopian tubes and ovaries b. The surgical sampling or removal of a fertilized egg c. Cutting into the fallopian tubes and ovaries for surgical purposes d. Cutting into a fertilized egg for surgical purposes

The term “salp” means… Read more…

Excerpt from: CPC Practice Exam – CbTopSellers.com

View original: CPC Practice Exam – CbTopSellers.com | CPC Coding Exam Review

View original post: CPC Practice Exam – CbTopSellers.com | CPC Coding Exam Review

CPC Practice Exam – CbTopSellers.com | Sample CPC Exam …

CPC Practice ExamClick Image To Visit SiteOr are you one of the many people who FAILED the exam the first time, and are now looking to retake the test, perhaps for the third or fourth time?

As soon as the 2014 coding books were released in late 2013, we went over the entire test with a loupe to make sure all the codes referred to in the answer key hadn’t changed since last year. The test is now fully updated for 2014.

Already know our CPC medical coding practice exam is exactly what you need? Please click here to place your order.

AAPC’s CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes.

Questions on the CPC exam do not cover just specific medical codes. Questions can be very diverse, testing the examinees knowledge on:

We have taken into account the wide spectrum of diversity the CPC exam offers and have constructed the questions on our CPC Practice Exam to reflect those on the actual exam as closely as possible.

In addition to our well constructed questions we are also providing a full rationale for each question.

These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located.

Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam.

a. The removal of the fallopian tubes and ovaries b. The surgical sampling or removal of a fertilized egg c. Cutting into the fallopian tubes and ovaries for surgical purposes d. Cutting into a fertilized egg for surgical purposes

The term “salp” means… Read more…

Read the original: CPC Practice Exam – CbTopSellers.com

CPC Practice Exam | test | Sample CPC Exam … – CPC Review …

CPC Practice ExamClick Image To Visit SiteOr are you one of the many people who FAILED the exam the first time, and are now looking to retake the test, perhaps for the third or fourth time?

As soon as the 2013 coding books were released in late 2012, we went over the entire test with a loupe to make sure all the codes referred to in the answer key hadn’t changed since last year. The test is now fully updated for 2013.

Already know our CPC medical coding practice exam is exactly what you need? Please click here to place your order.

AAPC’s CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes.

Questions on the CPC exam do not cover just specific medical codes. Questions can be very diverse, testing the examinees knowledge on:

We have taken into account the wide spectrum of diversity the CPC exam offers and have constructed the questions on our CPC Practice Exam to reflect those on the actual exam as closely as possible.

In addition to our well constructed questions we are also providing a full rationale for each question.

These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located.

Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam.

a. The removal of the fallopian tubes and ovaries b. The surgical sampling or removal of a fertilized egg c. Cutting into the fallopian tubes and ovaries for surgical purposes d. Cutting into a fertilized egg for surgical purposes

The term “salp” means tube, the term “ooph” refers to the ovary, and the suffix “ectomy” means to surgically remove. Some CPT books (like the professional edition put out by the AMA) contains pages with common medical terms like these in the beginning of the book (prior to the coding guidelines)

PROCEDURE PERFORMED: 1. Anterior discectomy, C5-C6 2. Arthrodesis, C5-C6 3. Partial corpectomy, C5 4. Machine bone allograft, C5-C6 5. Placement of anterior plate with a Zephyr C6

ANESTHESIA: General ESTIMATED BLOOD LOSS: 60 mL COMPLICATIONS: None

INDICATIONS: This is a patient who presents with progressive weakness in the left upper extremity as well as imbalance. He has a very large disc herniation that came behind the body at C5 as well and as well as a large disc herniation at C5-C6. Risks and benefits of the surgery including bleeding, infection, neurologic deficit, nonunion, progressive spondylosis, and lack of improvement were all discussed. He understood and wished to proceed.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in the supine position. Preoperative antibiotics were given. The patient was placed in the supine position with all pressure points noted and well padded. The patient was prepped… Read more…

CPC Practice Exam Review | Best Review | How To Learn Medical …

Just how can CPC Practice Exam succeed one of the related merchandise? Our review group has been carrying out surveys and tests for 4 months. We could responsibly inform you that CPC Practice Exam is actually a effective product with superb feature. They have abundant contents, great technological skills that not one other items can compare with. It can be our most sincere tips for everyone to select CPC Practice Exam . If you would like to learn extra, please browse as under.

Official websitewww.medicalbillingandmedicalcoding.com

Exactly what is CPC Practice Exam ?

CPC Practice Exam is actually an electronic product. And, it is different from every other ones that one could find on the net. That one has lots of advantages over others. You may already know, exactly the same kinds of CPC Practice Exam are extremely popular nowadays. There are numerous product developers that are creating different types of products like CPC Practice Exam . Many people are trying to find the best one away from scams, believe me that CPC Practice Exam is really reliable and customer satisfaction offers Two months No questions asked money back refund.

CPC Practice Exam Product Name: CPC Practice Exam
Download Last Month: 711
Discount Price: www.medicalbillingandmedicalcoding.com
Fefund Rate: 2.32%
All Money Back Guarantee Product: Yes
Refund Period: 2 months
Product Status: Tested and Not Scam

Up to now our testimonies has shown that CPC Practice Exam is not a gimmick. Inside our studies of the product we had an evident acknowledging that this capabilities as advertised and had just minor troubles whether it had any existing. There exists virtually no functioning excluded from your product. It can be effortless to discover and never quite a lot of effort is necessary to use it to make use of proficiently. There are a few downsides belonging to the merchandise yet those usually do not seem to be excessive and they also will not make it to lose its worth. One could not merely find another goods as effective as CPC Practice Exam if you are considering this you should consider giving it a opt yourself.

Advantages of CPC Practice Exam :

-The directions are incredibly simple to fully grasp that you simply will not feel jumble!

-You may take pleasure in the cheapest price if you opt for at this time!

-It can improve you effectiveness constantly!

-I actually promise you definite get it using the lowest price.

We are offering you an effective answer about CPC Practice Exam . It really is genuine product with great capabilities and finest excellent. Prospects can take no risk by using it. The actual end result is obtained by our team evaluation and study. We delivered the formal report.

Is CPC Practice Exam Scam?

You should not be worry to test this CPC Practice Exam . In their official web site, owner could be Guarantee You with Complete Money Back within 2 months if CPC Practice Exam Not meet the facts that you might want. Consider on their own sale feature, you have to be Risk-Free if this fails to go a long way for your needs.

Best places to pay for and download:

CPC Practice Exam comes right from their website, which you can check out by clicking here: Click The Link The service or product is just not sold via almost every other stores, even though you might discover some other websites which link directly on the payment processor web page. Having said that, it is wise to click right through to the owner to find out one of the most up-to-date price.

CPC Practice Exam Download Page


Click this link to acquire a sixty day trial offer

Post Tags : Buy CPC Practice Exam , CPC Practice Exam best review , CPC Practice Exam discount , CPC Practice Exam system download , CPC Practice Exam System guide , CPC Practice Exam Plugin , CPC Practice Exam PDF , CPC Practice Exam System Refund Rate , CPC Practice Exam Dividend