Obama Quietly Signs SGR Patch Bill

John Commins, for HealthLeaders Media , April 2, 2014

The College of Healthcare Information Management Executives was stunned by the delay in ICD-10, which they said was slipped into the bill to appease specialty physician associations. CHIME is still assessing the affect and cost of the one-year delay and it called on the Centers for Medicare and Medicaid Services to "provide new guidance to the industry on what the delay means for providers, vendors, clearinghouses and other concerned parties."

"The delay leaves numerous unanswered questions from testing, training, and revamping the agency's education resources, such as the CMS eHealth University, designed to help providers understand, implement, and successfully participate in the conversion process," CHIME said in a statement.

"The ICD-10 delay comes at a critical time just as providers are implementing new care models that would benefit from greater coding accuracy and specificity, such as patient-centered medical homes and value-based purchasing."

In sharp contrast, the American Hospital Association cheered after it successfully lobbied to attach the delay of the two-midnight rule and to extend the suspension of recovery audits for another year.

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