ICD-10, Two-Midnight Rule, RAC Audits, SGR Delayed

The Senate passed this evening the “Protecting Access to Medicare Act of 2014“, which creates a 12 month delay for pending Medicare cuts pursuant to Medicare’s sustainable growth rate (SGR) payment formula. This bill avoids the 24% Medicare cuts physicians were facing starting on April 1st (this will be the 17th delay of the SGR).  Another significant component of the Act includes the delay in ICD-10 implementation, until at least October 1, 2015.

In addition to these significant postponements, the Act also delays until March 2015 the implementation of the “two-midnight” rule and the recovery audits of unnecessary claims.

ICD-10 Compliance Delayed

In response to public encouragement, HHS announced earlier this week that it will delay requirements for ICD-10 compliance from October 1, 2013 to October 1, 2014.  The reconsideration of the compliance date was, according to the final rule,  a result of  “(1) the industry transition to Version 5010 did not proceed as effectively as expected; (2) providers expressed concern that other statutory initiatives are stretching their resources; and (3) surveys and polls indicated a lack of readiness for the ICD-10 transition.”  To view the final rule announcing the compliance delay click here.