NAHC Hosts Meeting with the CMS ICD-10 Ombudsman
October 15, 2015 09:56 AM
On Thursday, October 8, 2015 the National Association for Home Care & Hospice (NAHC) hosted an initial meeting of key home health and hospice stakeholders with the Centers for Medicare & Medicaid Services’ (CMS) ICD-10 ombudsman, Dr. William Rogers. The group agreed to work together over the next 18 to 24 months to provide support to agencies as they transition to ICD-10.
The newly established ICD-10 Transition Workgroup will be the conduit through which ICD-10 transition-related questions and concerns are channeled to CMS, with the intent of supporting the Ombudsman in his efforts to quickly reach resolution.
Dr. Rogers agreed that it is important that all providers be properly paid for the services they provide. Since home health payments are tied directly to the code selection and sequencing it is particularly important that issues be addressed in a timely manner. Relative to hospice, Dr. Rogers was alerted to concerns that inappropriate use of the code sets on the Notice of Election (NOE) will result in lost revenue; additionally, NAHC stressed that, due to historic reliance of CMS, the Medicare Administrative Contractors (MACs), and providers on Local Coverage Determinations (LCDs), some hospices are not as fully versed in coding guidelines and practice as some other provide types.
NAHC invites its members to submit ICD-10 questions to email@example.com. Queries that require coding expertise will be forwarded to the Association of Home Care Coding & Compliance (AHCC) and the Board of Medical Specialty Coding & Compliance (BMSC) for review.By aggregating industry questions, the board will be able to identify industry-wide coding issues and concerns.
Those concerns will be submitted by the board to the ICD-10 ombudsman and to the AHA Coding Clinic for resolution. Responses will be communicated to the industry by email with a link to the AHCC website where there will reside an archive of Q&As.
Home health and hospice providers are still welcome to submit ICD-10 questions directly to the Ombudsman email box, ICD10_Ombudsman@cms.hhs.gov.However, for inquires that require industry expertise, submitting questions through AHCC may accelerate the response time. Further, if inquiries are sent to the ombudsman’s office, NAHC encourages you to send a copy to us at firstname.lastname@example.org with any response you receive. This will allow NAHC to consolidate guidance to home health and hospice providers.