ICD-10 CMS/AMA Announcement Does Not Apply to SNFs

Karen Morris and Nancy Leveille in Clinical & Quality

NYSHFA has received the following notice from AHCA related to a recent CMS/AMA announcement on guidance to assist providers to get ready for ICD-10. The announcement and guidance only pertains to physicians who bill under Medicare Part B:

NOTE: ICD 10 goes into effect October 1, 2015. Join us for our “ICD 10 - Tips for Transition” Audio Conference on FRIDAY JULY 10th.  Click here to register.

To:     State Executives, Affiliate Policy Task Force
From: Dianne De La Mare
Re:     IDC-10
Date:  July 8, 2015

On Monday, July 6, 2015, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) announced efforts to “help providers get ready for ICD-10.”  In that announcement, CMS/AMA also released additional guidance that will allow for flexibility in the claims auditing and quality reporting process.  The CMS/AMA announcement and guidance are not clear, so we reached out to Denesecia Green (CMS, Administrative Simplification Group) to determine the targeted audience.  We learned that this announcement applies only to physicians who bill under Medicare Part B. However, this announcement provided AHCA with yet another opportunity to discuss with CMS the lack of ICD-10 educational tools and information specific to nursing facilities.  Ms. Green has committed to working more closely with AHCA staff to provide information more targeted to our sector.  We will continue to keep you updated as we continue our discussions with CMS.


Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20