SGR Bill Passes House: Goes to Senate for Consideration

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  • March 27, 2014
  • Comments Off on SGR Bill Passes House: Goes to Senate for Consideration

CMS LogoThis morning the United States House of Representatives passed House Bill 4302.  The bill proposes to extend Medicare’s Sustainable Growth Rate (SGR) current rate to April 15th, 2015 and would delay other Medicare deadlines. The bill, as currently drafted, would also postpone ICD-10-CM implementation until after Oct. 1, 2015 and restrict the Centers for Medicare & Medicaid Services (CMS) from acting without congressional approval.
The bill now goes to the U.S. Senate for debate and vote. If it passes the Senate, it would then be sent to President Obama’s desk to be signed or vetoed.
AAPC will report on this situation and recommends preparing for ICD-10 implementation.
We will continue to serve AAPC members as well as providers, payers, and other stakeholders within the industry to ensure all are prepared for the many changes in healthcare – whenever those changes occur.


Brad Ericson
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About Has 361 Posts

Brad Ericson, MPC, CPC, COSC, is a seasoned healthcare writer and editor. He directed publishing at AAPC for nearly 12 years and worked at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

No Responses to “SGR Bill Passes House: Goes to Senate for Consideration”

  1. Denise Paige says:

    I am so over this back and forth business with ICD10!! I agree its a needed change, but its also been a HUGE money maker and money spender for those in the business of healthcare. Making those of us who are certified thru the AAPC sweat over taking yet another test only adds to the stress of it all. Anyway I’ll see what happens this time around.

  2. Beverly Travis-Crawford says:

    What will happen to the upgrades and training that we are going through now. If not utilized, I sure we will have to retrain. Will AAPC honor payments given now for future testing and training.

  3. Julie Morris says:

    This is so dumb to delay ‘again’. From what I have heard they delay is because there are complaints that people are not ready for this. People and places have had years to prepare and get ready for this. If they waited and didnt get updated then that is their problem, they should not hold up all the people that are ready for this. By this holdup they are costing companies money in training, software and other ways. Everyone in the billing and coding sector knew that this was coming for years and years and we are ready for the change so stop delaying it and just get it done so we can move on and use the new information.

  4. Wanda Humphries says:

    This is insane.

  5. Melanie Edwards says:

    This needs to stop being pushed back. We are the only country who has failed to adopt ICD-10. We are failing to proply report patient’s conditions due ambiguity of codes. I even feel that reimbursements have been suffering due to the inability to completely capture a patient’s condition. I have seen reports in the news poking fun at some of the codes due to a misunderstanding of what is acutally being represented. I feel that too many people to not understand or see the benefits that ICD-10 will bring.
    I will not deny that it is expensive and time consuming to train, retest, upgrade, etc. But these are necessary evils in an ever-changing career field. We should all strive to grow in our fields, not to remain behind the times. We need to push forward and just get through this transition now. If we wait too long, we will have to jump straight to ICD-11! How will that be any easier or less expensive?

  6. Nan Ivanoff says:

    Wow! I was just about to pay $60 for my AAPC ICD-10-CM exam. Paid $500 for an ICD-10 class too. Been trying to do the right thing getting ready for implementation. Hope I don’t forget what I have learned. Rather disappointing. I do think ICD-10 is much better myself and was looking forward to it in Oct. 2014!

  7. Kathy Brubaker says:

    I am in support of delaying the ICD-10 for another year. This would provide additional opportunity for those who haven’t had the time to study and would lessen the financial burden for smaller entities who are currently struggling due to the RAC recoupment process and implementation of other CMS rules and regulations.

  8. Cindy Akkerman, MBA, MBA-HCM, CPC, CPB, CPPM, CPC-I says:

    If this passes, it will only cause more heartache and cost to us that have been diligently learning ICD-10. Our local chapter is hosting a boot camp and many have attended the AAPC hosted ones also. I have already paid the $60 for the assessment and passed. I hope the AAPC is diligent about lobbying this bill to not be passed. We are the last nation to go to ICD-10. The growth of jobs and companies because of this will all be wasted. Heck, AAPC’s Healthcon is mostly ICD-10, that should be fun. I have spent too much money, as others on training and books, I will not purchase another DRAFT ICD-10 book again, until it goes live, whenever that may be.

  9. Nicole Wilson says:

    In our region, it is actually the carriers who haven’t prepared and are not going to be ready. I would be less understanding if the coding community and/or practices were not ready, but when its the payer and your largest, you have to consider things like payroll…

  10. Christina Hill says:

    I am not in support of the delay. This has been going on for years. CMS has given plenty of time to get this set up. What about all of the people who have worked on this diligently and are ready to go? The money and time they have spent to make sure everything is ready for the deadline. I am not sure most small entities would be ready.

  11. Andrea says:

    I am so confused. I thought it was set in stone.

  12. John Paul Spencer says:

    It is a point of high comedy to see the AMA fight against a bill with an ICD-10 extension because it is tied to the continuing survival of the Sustainable Growth Rate, which since being introduced my the Gingrich Congress has proved completely unsustainable.
    We kept being told that we need to implement ICD-10 to get to ICD-11. With this new implementation date, we will now be 18 months away from worldwide release of ICD-11 in order to implement a code set that is 23 years old. It didn’t make sense when I suggested to CMS that ICD-10 be skipped in favor of ICD-11 when they put forth the last proposed rule a few years ago, and it makes even less sense now.
    We have spent the last five years planning to implement the health information equivalent of a horse-drawn ice delivery truck. ICD-10 is designed for a quantity-based healthcare delivery system. ICD-11 is designed for a quality-based healthcare delivery system. The payment model is moving towards one that rewards quality, which would render ICD-10 nearly obsolete upon implementation.
    I’d like someone to give me a cogent argument that shows me that we haven’t reached the point of no return to implement ICD-11 upon release in May of 2017. All I here are cost estimates for waiting that have no science or accounting behind them. I find the argument of “10 before 11” to be completely without merit now.

  13. Harriet King says:

    I’m not sure how I feel about this. I am a student who is just finishing up a Medical Billing and Coding Program based on ICD-9-CM. We have touched only marginally on ICD-10, mostly through using crosswalks. For those of us in my position, it is something of a relief not to have to learn ICD-10 when we are just getting used to ICD-9-CM. Although I understand why many people are upset about another delay (surely the US looks like a fool in this matter) for me and my classmates it will give us some breathing room before having to learn ICD-10.

  14. clg says:

    I myself thought this was set in stone. Who knew. I would hope that if they do delay another year that they would do things in phases. For example phase 1 1500 forms from 08-05 to 02-12 form effective 4.1.2014. Do not do everything at once. This would give everyone time to get things done one by one and not be overwhelmed. Let us utilized the additional time wisely if additional time is granted. I would hope that all payments for training for ICD.10 would be refunded. Who would want to train now and forget what they have learned. What a mess.

  15. AStanley says:

    I dont feel it should be postponed everyone has had ample time to get ready and adjust to these changes, however most felt it would be pushed back again and now its getting close to crunch time and everyone is in a panick.

  16. Debbie C. says:

    It’s way past time the USA get on board with the rest of the world! Many facilities, clinics, physicians, and coders have spend ALOT of money already preparing for this October. Please, please, please everybody and anybody lobby for this bill not to pass! Those making the decisions in Washington are clueless. The cost is only going to increase the longer the put this off.

  17. Anette says:

    Will we still be using the new CMS claim forms or is that also delayed now?

  18. Patty G says:

    Personally, my practice is preparing but very very unhappy about going to ICD-10.
    My docs want to practice good medicine without having to become professional coders, ACO masters and PQRS/MU hoop jumpers to survive in primary care. I hope they scratch it altogether because the way it is, the information providers are going to send out may very well be inaccurate. Not because they are not providing certain services for certain diagnoses, but because ICD-10 is too cumbersome, too confusing and way too time consuming for them. It is on the list of things they are being forced to do in their day to day practices that is paralyzing them and taking away from the patient. In our opinion, this is not ok.
    Thanks for listening.

  19. Patty G says:

    Personally, my practice is preparing but very very unhappy about going to ICD-10.
    My docs want to practice good medicine without having to become professional coders, ACO masters and PQRS/MU hoop jumpers to survive in primary care. I hope they scratch it altogether because the way it is, the information providers are going to send out may very well be inaccurate. Not because they are not providing certain services for certain diagnoses, but because ICD-10 is too cumbersome, too confusing and way too time consuming for them. It is on the list of things they are being forced to do in their day to day practices that is paralyzing them and taking away from the patient. In our opinion, this is not ok.
    Thanks for listening.

  20. Mark G says:

    More money wasted…… leadership

  21. lms says:

    I our ever changing world of coding, this just needs to be done. Stop wasting everyones time, money and effort. We have know about this for years, and for those of us who want to move up and on in our careers (overseas at any point) we are at a disadvantage. Stop being spoiled, train, get ready and CHANGE!

  22. Annette says:

    Call or email your Senator!
    AHIMA emailed this out.
    Phone Script Available Below for Use in Contacting Your Legislator:
    Hello, Senator XX:
    “My name is XXX and I am a concerned member in your district, as well as a healthcare professional. I am calling to voice my opposition to any language in the SGR fix that would delay ICD-10 implementation until October 2015. CMS estimates that a one-year delay could cost between $1 billion and $6.6 billion. This is approximately 10-30 percent of what has already been invested by providers, payers, vendors, and academic programs in your district. Without ICD-10, the return on investment in EHRs and health data exchange will be greatly diminished. I urge you, Senator XX, to oppose an ICD-10 delay and let Senate Majority Leader Reid and Chairman Wyden know that a delay in ICD-10 will substantially increase total implementation costs in your district as well as delay the positive impact for

  23. Maria Tiberend says:

    I totally support the language in the bill that delays implementation of ICD-10-CM. The physician provider community is not prepared for the current 10-1-2014 start date. There are many CMS initiatives the physicians are adopting such as Accountable Care, Meaningful Use of Electronic Health Records, Value Based Modifier, Physician Quality Reporting System and others to that are costly but have an added value i.e. promotes better quality care and a lower cost. Physicians, billing software vendors, insurance payors and other covered entities are not prepared and changing the nomnenclature adds no value… only additional costs at this point in time. Also – for physicians who have not been able to invest the money and resources to become ICD-10 ready, their revenue stream will dry up as of 10/1/14 causing more of our physicians to leave practice or seek out administrative roles at the expense of our community.

  24. Cathy Johnson says:

    We can only hope that not only is ICD10 delayed but squashed all together. The hoopla to convert is actually propaganda to convince everyone that the USA is behind the eight ball and not able to be an effective player with the World Health Organization assembly. We also keep hearing about inability to effect advancements in outcomes of treatment and advancing the safety of the communities. None of which has in truthful measures, just empty assumptions. The US is far ahead of other industrialized nations in the treatment of many diseases. We have made tremendous strides in the healthcare industry based on ICD-9 data believe it or not.
    Insurance companies see the transition to ICD-10 as an investment opportunity. They know initially the cost will be impactful, but nothing compared to the potential return on that investment. Big insurance will use ICD-10 as an avenue for denying claims. The fact is the financial impact for some physician groups will be debilitating. Some will not survive. They will be driven to join hospital owned practices in an effort to alleviate the financial burden. I wonder sometimes if the World Health Organization, the insurance companies and hospital corporations are not in cahoots;)

  25. Lala says:

    Are you serious??? I agree with Wanda THIS IS INSANE!

  26. Annette Hartzell says:

    I completely support the delay of ICD-10. It is not about us as individuals, our certification or lack of, it is about the state of the states and that we ARE NOT prepared. All say they are ready but are they- do you have processed claims with payments? Are you getting authorizations in ICD-10 and receiving reimbursement? NO we are not! Can CMS and other plans accept the ICD-10 format-sure but they are not processing claims for payment. We have had enough issues with insurance plans not becoming standardized regarding Simplification and 5010. We are having issues with the exchange insurance plans. We still don’t know how that will affect all of us. This is a dynamic healthcare change of course for the U.S. Do you know what ICD-10 really means? You may think you do but beware. Of course vendors who sell ICD-10 education, books, software want it to move forward as they have been making money since first mentioned. That is no reason to move forward. If we are going to do it then we need to be sure that when we send a claim it will be adjudicated correctly and promptly. Healthcare is loosing money the way it is. We don’t need to loose more.

  27. Sheri Peters says:

    I just got out of an Insurance Networking Meeting and received the AAPC alert concerning this bill. My first thought was, oh no… NOT again. I along with many other CPCs and CCSs have attended Boot Camps, training sessions and have taken our proficiency tests (and passed) and are working with our facilities, vendors and physicians to implement ICD-10 as efficiently and as painlessly as possible. It is now becoming a joke that this keeps being pushed further and further back and I for one think enough is enough. It is bad enough that we are the only country not using ICD-10, but what happens when the rest of the world starts ICD-11? The monetary consequences delaying this further will be astronomical because for one we are all learning new concepts and changes necessary to insure a smooth transition, we are seeing Payers implementing new verbiage used in their contracts and we are seeing new changes due to the changes in healthcare reform.
    Is this change without issues… NO. Is this a change that is necessary… YES. For all the Providers and Facilities out there that have claims denied for not being specific enough this will help in the long run because there will be less questions from the payers that use every excuse in the book to delay or deny payment.
    NO more delays!! Lets move forward and stop this already.

  28. Rebecca Robins CPC, COSC says:

    ICD-10 legislation CAN BE removed from this bill by the Senate. The major part of this bill is Sustainable Growth Rate, and the fact that we are facing another huge cut in physician payments if it’s not taken care of. That will put us back to the place we have been many times: needing a bandaid bill applied to it by Congress, until the next deep cut comes along, and we have another bandaid applied.
    The fact that the ICD-10 delay was placed in this bill is ridiculous. Get SGR passed on its own, and don’t delay ICD-10 another year. Email your senators!

  29. Lala says:

    Here Here Sheri! This is ridiculitis AKA ICD-9 729.2 converted to ICD-10 M54.10 OR M79.2 🙂

  30. Christina Hill says:

    Everyone on here needs to email their senator to show their displeasure with this. I emailed several that I have emails addresses for. They added to the bill because they know they can get it by this way. As they do with all “pork barreling”.

  31. Cindy Kerstetter says:

    I’m frankly astonished at some of the comments I’ve read here. Delay of I-10 is not only necessary but critical for the survival of many practices and health systems. With the implementation of the ACA, demand for providers of health care is skyrocketing. Who is going to see all these newly-insured individuals when a rushed I-10 implementation forces hundreds of providers out of business? This is far more than an us-against-them mentality. If we are not ready (and we are not), this implementation could prove devastating to the still-struggling US economy.
    Cindy L. Kerstetter, CPC, CCS-P, CPC-I

  32. Terry Fletcher says:

    I understand the conflicting feelings about the ICD-10 change. I have them myself. The expense, time, and effort involved in learning a new system, while trying to get physicians on board to be more specific in their documentation to be able to code ICD-10-CM. I am also not looking forward to taking another exam to keep my credential that I earned over almost 20 years ago. However, this is a change that needs to happen. It is how we progress in the Healthcare Industry, and this delay will only increase the expense to practices to re-train and educate, while delaying the inevitable. Look at the new LCD’s. They all include ICD-9’s AND ICD-10’s. This will happen. Lets just get it done.
    I hope it it taken off the Bill before the final signature. I called my Senator. I hope you did too.
    Terry A. Fletcher BS, CPC, CCC, CEMC, CMSCS, CCS-P, CCS, CMC

  33. Linda King, CPC,CPCO,CCC,CCVTC,CEMC,CPC-I,CGSC says:

    No More delays, it is the same excuse each time, no one is prepared. By postponing it yet again, the procrastinators will procrastinate and still not be ready for 2015. I was prepared in 2011 and the test is really not that bad folks. More money is going to be wasted if this is put off yet again, and then what about ICD-11. Let’s just move forward and be done with it!

  34. Jennifer says:

    I called both of my Senators Office – YOU need to do the same. The insurance companies have not been working like crazy to delay – They will press forward and you will be coding one way for certain patients and another way for others. Talk about more work!! Call Ladies, Call!!!

  35. Tina almat says:

    I am all for the delay. i have been spending enough money trying to pass the CPC exam. i have followed all the rules and purchased the aapc exams and still have not passed. I will be spending another 300.00 take this thing. then if i do pass i have to be stressed out over I 10 because i have to learn it and spend more money. I say yes to the delay.

  36. Cameron Moriarty says:

    The only possible excuse I can think of for them to not be prepared for ICD-10 is because they put it off in favor of preparing for Obamacare. It’s an overly complicated albatross on the medical sector that I can absolutely understand it getting in the way of other projects.

  37. Deepa says:

    This angers me… I am one of the many who has invested in getting prepared for this, and someone managed to slip a bill thru. So what happens to all of our training and classes and getting our pm systems updated? It’s not right, they are making us get prepared and next year something else will come up.

  38. Suely Baptista says:

    This is so rediculous. Who is pushing for delay for another year? When 2015 comes, I am sure someone will say that they need more time to get ready and so on. We need to move foward and not backward.

  39. Ruth says:

    How can you not be ready? This was supposed to pass LAST October, and now it’s supposed to have passed THIS October? How can you not be ready??? Its enough already. People have spent thousands of dollars and time investing in learning a totally new system of coding. The entire ICD code system has been changed and we’ve been talking about it for YEARS already. ENOUGH is ENOUGH! We need to be able to capture the data related to the patients; we need to be able to provide enough specificity about the diseases our patients have and we need to be able to support the revenue cycle and GET PAID for these services…. It’s enough already… BUT, it was so sneaky and underhanded the way they ‘stuck’ in the delay….it was ‘squished’ in the middle of a paragraph almost as if they thought no one would notice. HOLY COW!!!!!!!!!!!!!! Call your Senator and have them delete this from the Bill……Geez,

  40. Eileen Grassi, CPC says:

    I find this possible delay just ridiculous! We have been hearing for quite some time now that this WILL NOT be delayed again and then we hear of this! We must move on. It has been coming…we all knew it…and should have been preparing for it! I have already trained, have been studying and plan to test for ICD10 shortly. Move on America..

  41. Yolanda Jefferys says:

    I wish they would stop delaying this. It is ridiculous. I was told when I was in school getting trained in billing an coding back in 2006 that they would be switching to ICD 10. How long does it take to get everybody on track?
    Also it peeves me that a lot of people are against the ICD 10 change over because they believe it is a part of “Obamacare” When I hear people say that I always try to tell them that this change was in the works long before “Obamacare” but they don’t believe me.

  42. Debbie says:

    The implementation of ICD-10 started back in the late 90’s and here we are , the US, the last ones to participate. What year will we adopt ICD-11 in this country? The US is a leader in many areas but not in the coding arena. It is embarrassing for us to the rest of the world. Why does the house and the senate insist on rolling multiple issues into one bill? This needs to stop! One issue one bill. Make those phones calls, emails, etc and make sure to get to the polls at voting time. It is time to clean out Washington! I think we should send every bill that has been paid for training, books, new computers, software, etc for everyone involved in preparations for the new coding system to Washington and ask that they reimburse the providers, coders, hospitals, insurance plans and so on. Do you think they might get the picture how displeased everyone is for yet another delay?

  43. Arun Kumar RH CPC-H says:

    ICD 10 implementation needs to stop being pushed back. We should all strive to grow in our fields by getting proper training and upgrades. We need to look forward for ICD 10 implementation. Yes, initially it will be bumpy and challenging but as we get more and more exposure to I 10, it will become lot easier than I 9..
    Thanks for listening…

  44. Patti Harmon says:

    ICD 10 implementation needs to stop being pushed back. We should all strive to grow in our fields by getting proper training and upgrades. We need to look forward for ICD 10 implementation. Yes, initially it will be difficult and challenging but as we get more and more exposure to ICD 10, it will become easier. Our practice has put so much money into the training and implementation and because the government is not ready! Insane!!!!!! We need to move on………

  45. Nancy Burch-Nelson says:

    In reading the literature, 79% of physicians indicated they were not ready or had even started preparation in hopes that this would happen, yet another postponement. Physicians, Insurances and the Government just need to catch up with the rest of the world, bite the bullet and just go through with it. I personally feel that in the long run ICD 10 would benefit the physicians as far getting paid for what they do because of the specificity. I agree it is a HUGE undertaking, but we need to do it.

  46. Bambi Shertzer-Cioffi says:

    Joh Paul Spencer brings a valid point to light. With ICD-11 coming so soon it is financialy irresponsible for our government to implent ICD-10. In my opinion all of the training should continue regardless if there is a delay as this will only strength us as a nation and prepare us for the furture. Retention of learned materials is a challenge, but if you have good leadership with in your working environment you can keep this fresh in your mind by doing daily coding scenarios.

  47. Mary Gronlund says:

    The bill still has to pass in the Senate.

  48. Brenda Conbeer RN, BSN, CNOR, CPC-A, CMLSO says:

    I agree with the majority of posts that we just need to do it whether we are ready or not. The reality is the same people that are not ready in 2014, still won’t be ready in 2015 because they just don’t want to spend the money. They will be the ones lobbying next year to delay while the US continues to fall further and further behind the rest of the world

  49. Melanie Edwards, CPC says:

    It is so frustrating to read the comments on here from those who are for the delay. You obviously don’t understand what ICD-10 is and what it can do. You need to understand that as well as the nature of this career and the nature of healthcare. It is ever-changing and we must be constantly learning and changing with it.
    ICD-10 is not only used for reimbursement purposes. It is also for reporting diseases to the World Health Organization. WHO already uses ICD-10, yet we do not?? Why are we being so resistant to this change? It will not only help the adjudication process by providing a more clear picture of each case/claim, decrease the need to send supporting documentation and decreasing time spent doing appeals. Additionaly I feel that ICD-10 will assist in continuity of care. Practices can not only be concerned about their bottom dollar (though important), we are here for the patients. It’s time we dedicate ourselves to improving healthcare reporting. Claim reimbursement should be reflective of our ability to properly document and report services. ICD-10 will only assist in this.

  50. David Beynon says:

    Hopefully AAPC’s 100, 000 members will call their U. S. senetors and tell them to vote NO on SGR bill 4302 before Monday, 3/31/14.
    As an AAPC member. whg also holds membership and accreditation with AHIMA-and has rendered seven
    years worth of (gratis) service as a local chapter officer; I find that the AAPC’s efforts to solidify member
    advocacy against a further delay of ICD-10-SADLY LACKING.
    As compared to AHIMA-this has been a real “let down”.
    If you are opposed to a further ICD-10 delay, (which will affect EVERYONE in the healhcare industry), get
    on the phone NOW!

  51. Debra Swisher, CPC says:

    I am shocked that everyone else is so surprised by this latest development. Those of us that have been in this business for more than a minute strongly suspected this all along! The implementation of ICD-10 for billing and reimbursement purposes has been in the wings for approximately the last 2 decades! Relax people… there is no need to fight about something that we “worker bees” have no control over! This is unnecessary elevation of your blood pressure…real control has little to do with who is in political office on today or tommorrow… Big Business is and will always be holding, pulling and releasing the reins, as it suits them, not us (i.e., insurance companies, pharmaceutical corporations and major medical institutions / practices)!

  52. Donna N says:

    I am so disgusted that this is maybe delayed yet again. The medical community has had plenty of years to implement this. I have spent way to much of my own money to learn ICD-10. My employer does not help me at all. They might as well tell us they are delaying it until ICD-11. I can not afford to keep paying for more books, webinars and testing out of my pocket in order to prepare and to keep my certification. The procrastinators still will not be ready in 2015.
    Call your local U. S. Senators and tell them to vote NO on SGR bill 4302 before Monday, 3/31/14
    Here’s hoping that they won’t delay ICD-10 in 2015 again?
    Disgusted and disappointed.

  53. Donna Marks, CPC, CCS-P says:

    I have listened and read all the arguements for and against ICD10. Personally, I think we need to move forward. Those who are not ready now, will not be ready in 2015. We were assured last year that October 1, 2014 was firm and would not be delayed again. So for all those who took it seriously and spent time and money getting, ready, I guess the joke is on us. What bugs me is that this bill is not really about ICD10, it was “included” as a bone to ease the pain of the real issue. It also pisses me off, that we only heard about this the day before the vote. I understand why, but seems very sneaky. Its no wonder why the political sector has such a bad reputation. If the bill passes, then we may as well wait for ICD11 and watch that get postponed over and over.

  54. Olivia Bueno says:

    What is it going to take to get this rolling? You have students like myself who have spent their time and money to “buy in” to the implementation of ICD-10. Other countries are using it who are we dragging along in the past? We need to update. Why to be competitive, to make billing and coding easier, more accurate, and up to date. 6.6, that is the number of the billions of dollars we are waisting if we don’t get this rolling. What does that say to the many students that are working hard to be certified? We really need to stop procrastinating and get it together. Those of you who vote to procrastinate will deffinately not get my vote at the next election. Politicians take the time to read the fine print and see what you are really getting into. Doctors take the time to educate yourselves on what we billers and coders and professionals of the MBC and HIT field know just like we learned anatomy and physiology so we could understand your language to bill and code the procedures that get you paid. Doctors you do like to get paid right? I don’t know of any physicians that work for free if they did we wouldn’t need health care. Lets work smarter not harder.

  55. Barbara Petersen says:

    As Europe and Canada starts using ICD-11, we will be JUST beginning to use ICD-10. We are so backwards in this country.

  56. sara says:

    what a way to bring down I-10,more you delay,higher will be the cost

  57. Connie Sohasky says:

    I totally disagree with extending ICD-10 to October 2015. I have been taking classes to learn ICD-10 and studying including an Anatomy and Physiology course to prepare for the ICD-10. I am stressed over the fact I am mandated to be tested on ICD-10 and now they want to postpone again. How much change will occur between now and October 2015? Are we (coders) going to have to buy all new books again, retake education courses on ICD-10, and pour money into relearning this because Harry Reid wants to postpone it? I think not. We need to stand up for ourselves and let our voices be heard. What does Harry Reid know about coding?

  58. Char Tolman says:

    I am worried now.. I just completed my education classes for Medical billing and coding, and was only taught ICD-10. What does this mean for me now? Great for Medicare, but now I an stuck.