MGMA Comments: Concerns and missed opportunities with ICD-10 and Health Plan Identifier rule

OFFICIAL COMMENTS

FOR IMMEDIATE RELEASE
CONTACT
: Liz Boten, 303.799.1111 ext. 1332 or [email protected]

Please attribute to Susan Turney, MD, MS, FACP, FACMPE, president and CEO of MGMA-ACMPE

Despite the additional year for ICD-10 implementation, MGMA remains concerned that the Centers for Medicare & Medicaid Services (CMS) has mandated this new code set without having undertaken the necessary due diligence to ensure it will not create debilitating cash flow disruptions for physician practices.  Also, we are not confident that critical trading partners, including Medicare and state Medicaid plans, will be ready in time to conduct testing well in advance of the October 2014 compliance date. We urge CMS to significantly escalate its implementation efforts by pilot testing ICD-10, ensuring health plan, clearinghouse and vendor readiness, and developing comprehensive educational resources.

We are also disappointed that CMS missed a significant administrative simplification opportunity to create true claims revenue cycle transparency with the Health Plan Identifier rule. By not requiring health plans to enumerate at a more granular level, physicians will continue to face the burden of manually identifying these entities.


About MGMA-ACMPE
MGMA-ACMPE is the premier association for professional administrators and leaders of medical group practices. In 2011, members of the Medical Group Management Association (MGMA), and its standard-setting division, the American College of Medical Practice Executives (ACMPE), voted to merge to form a new association. Since 1926, the Association has delivered networking, professional education and resources, political advocacy and certification for medical practice professionals. The Association represents 22,500 members who lead 13,200 organizations nationwide in which some 280,000 physicians provide more than 40 percent of the healthcare services delivered in the United States.

MGMA-ACMPE's mission is to continually improve the performance of medical group practice professionals and the organizations they represent, helping medical practices provide efficient, safe, patient-focused and affordable care. MGMA-ACMPE is headquartered in Englewood, Colo., and maintains a government affairs office in Washington, D.C. Please visit mgma.com.

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