AAPC Testifies at NCVHS Hearing

HMicrophoneighlights from Rhonda Buckholtz’ testimony, CMS announcements, an open letter from AAPC to Secretary Burwell, and an invitation for an AAPC-CMS joint webinar.

On June 10, 2014, representatives across multiple industries participated in a National Committee on Vital and Health Statistics (NCVHS) hearing. Spokespeople from AAPC and the Centers for Medicare & Medicaid Services (CMS) offered statements regarding ICD-10. AAPC Vice President of ICD-10 Education and Training Rhonda Buckholtz, CPC, CPMA, CPC-I  conveyed the general feeling of AAPC’s 130,000+ members and suggested methods for facilitating the success of both individuals and organizations as they prepare for ICD-10 implementation. Representatives from CMS provided a status update on current initiatives and offered an outlook on upcoming plans.

AAPC Representation

As part of her testimony, Buckholtz shared the results of a recent AAPC member survey. One of the survey questions invited AAPC members to share their biggest concerns surrounding ICD-10 implementation. Buckholtz shared that a common sentiment among respondents included unclear communication from CMS, which is causing people to resist moving forward on ICD-10 implementation. She cited the testing cancellation­—originally scheduled for July—as an example.

“We understand why the testing would be delayed; [CMS] didn’t say we were delaying testing or the reasons why. They said testing is canceled until sometime in 2015. That stops the industry…” she said.

Later in her testimony, she stressed the importance of resolving ICD-10 code confusion:

“Right now, we know that there are many mistakes in the ICD-10 codes. We are holding onto them under the code set freeze. That is very detrimental to the industry.”

To combat the aforementioned issues and help industry professionals move forward, Buckholtz offered the following suggestions for improving the ICD-10 roll out:

“You need to broaden up the cooperating parties and allow more to participate, rather than just the two meetings per year. You need to have a larger panel. You need to have more representation on this, so that providers are represented on this, so that people have a good understanding of how providers’ offices work and how these codes will impact them, especially as payment models shift towards diagnostic coding…”

CMS Representation

Speaking further on the topic of testing, John Evangelist, director of Business Applications Management Evangelist at CMS, said:

“Prior to the passage of PAMA, Medicare fee-for-service had planned to conduct provider-initiated end-to-end testing to help the provider community prepare for ICD-10. This testing was postponed in order to give CMS time to update its software to reflect the new ICD-10 implementation date.”

CMS will announce more details about end-to-end testing, including the specific testing dates, as soon as possible.

Senior Health Insurance Specialist at CMS, Denescia Greene, indicated her desire for increased collaboration:

“I think that maybe now is a good time to bring all of those stakeholders to the table, including other partner and provider groups, as well. We have brought on rural health communities, small hospitals, critical access hospitals, safety net organizations, physician practice organizations, you name it.

I am really open to solutions on how do we get those small physician practices to the table. I will leave it there. I can let you know that CMS is committed to testing. You saw a postponement of the testing, but not a cancellation of testing… The messaging came across perhaps not in the most efficient way. There will be testing to ensure that this process goes through smoothly.”

Read the full transcript.

Open Letter to Health & Human Services Secretary

As a follow up to the suggestions made by Rhonda Buckholtz, AAPC CEO Jason VandenAkker sent a letter to U.S. Department of Health & Human Services Secretary Sylvia Burwell. In the letter, VandenAkker urges Burwell to open the Coordination and Maintenance Committee to additional groups, namely AAPC. Download a pdf copy.

If you would like to encourage the committee to include AAPC in future meetings, you can write to Secretary Burwell at Sylvia.Burwell@hhs.gov

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5 Responses to “AAPC Testifies at NCVHS Hearing”

  1. Belkis Abraham says:

    AAPC is the best resource to get training to be ready for the implementation of ICD-10!!!!

  2. Jennie Poppell says:

    I know coming from a small community of providers and currently holding position of physician billing coordinator for all practices owned by hospital will be a huge challenge in transitioning the providers as well as the staff to ICD-10. There is not enough information currently posted in media etc and I firmly depend on AAPC for definitive answers and definitely feel AAPC should always be included in every meeting regarding ICD-10 implementation. I come from an administration that if it is not in headline news or an accredited organization, there is not much to my opinion on how detrimental ICD-10 will be to small practices and providers if not adequately trained.

  3. Nicole says:

    Congress passed that the ICD 10 would not be put into effect until late 2015 when they passed the bill for CMS that was also included in the bill. CMS was going to get a pay cut for professional services by Doctor’s and not get the normal increase but a decrease causing many doctors not to take those patients. The WHO is all ready working off of ICD 11. How do you know ICD 10 will just not be scrapped? ICD 10 is not even offered at colleges that have a Coding program. These are facts and real concerns!

  4. Brad Ericson says:

    Nicole – We are fairly confident ICD-10 won’t be scrapped. While the WHO is developing ICD-11, the agency is only working on a beta version right now. No release is expected until later this decade, and then it’ll take a few years for HHS’ National Committee for Vital Health Statistics (NCVHS) to clinically modify it for American use. We’ll not see ICD-11 for many, many years.

  5. Stephanie says:

    Obviously ICD10 won’t be scrapped, but how long must America live in the dark ages of ICD9? The rest of the world has a better code set, why are we still lagging behind? We need to jump in and just get on with it already, no more postponement.

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