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U.S. House Passes Medicare; Delays ICD-10-CM Implementation
Posted on: 3/28/2014

On Thursday, using an unconventional procedural maneuver, the U.S. House of Representatives passed yet another 12-month patch, delaying a looming 24 percent Medicare reimbursement payment cut. The legislation, Protecting Access to Medicare Act of 2014, H.R. 4302, also delays the implementation deadline for ICD-10-CM for one year, and includes a six-month partial enforcement delay for a controversial new inpatient payment rule for hospitals, the so-called two-midnight rule.

At press time, the U.S. Senate is expected to vote on this legislation Monday.

Late Wednesday night, ISMS joined 90 other state and national medical societies to strongly urge members of Congress to vote against legislation that would enact the 17th temporary patch to reimbursement cuts imposed by Medicare's Sustainable Growth Rate (SGR) formula. The letter called for all parties to engage in good faith, bipartisan efforts to enact the physician payment and delivery reform policy to permanently repeal the SGR formula.

While a bipartisan, bicameral agreement was recently negotiated and adopted by three congressional committees (H.R. 4015/ S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act), momentum stalled in both Houses of Congress due to differences in how to pay for the legislation.

While the current patch, if enacted, will divert the looming 24 percent payment cut scheduled for April 1, it is disappointing that the permanent "SGR repeal deal" couldn't clear the final hurdle.

ISMS will keep you informed of the latest developments.



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