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CMS Publishes News Update Regarding ICD-10 Delay
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On May 1, 2014 CMS Published a News Update regarding the use of ICD-10 codes. The update references the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) enacted on April 1, 2014. The Act prohibits the Secretary of Health and Human Services from adopting ICD-10 codes prior to October 1, 2015. Previously, the Centers for Medicare and Medicaid Services (CMS) had advised that, for purposes of Mandatory Insurer Reporting pursuant to the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) they would be discontinuing the use of ICD-9 codes and require the use of ICD-10 codes on all claims with a CMS date of injury of April 1, 2015 or later.
While the update did not specifically identify the impact on Mandatory Insurer Reporting pursuant to the MMSEA, it is anticipated that the PAMA will delay the use of ICD-10 codes in the reporting process. CMS has not indicated that the reporting process will incorporate the new act or whether it will modify its instructions on the use of ICD codes. Gould & Lamb expects an update from CMS shortly on its reaction to the Act and its impact on MMSEA and reporting obligations.
If you have any questions or concerns, please contact your MMSEA Compliance Manager directly, or our MIRService Support Team at [email protected] or 866.672.3453 x1122.
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