Text of the Cutting Costly Codes Act of 2015

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This bill was assigned to a congressional committee on April 30, 2015, which will consider it before possibly sending it on to the House or Senate as a whole. The text of the bill below is as of Apr 30, 2015(Introduced).

 

114th CONGRESS

1st Session

H. R. 2126


IN THE HOUSE OF REPRESENTATIVES

April 30, 2015

Mr. Poe of Texas (for himself, Mr. Farenthold, Mr. Rogers of Alabama, Mr. Brooks of Alabama, Mr. Griffith, Mr. Tom Price of Georgia, and Mr. Roe of Tennessee) introduced the following bill; which was referred to theCommittee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

To prohibit the Secretary of Health and Human Services from replacing ICD–9 with ICD–10 in implementing the HIPAA code set standards.

1.  Short title

This Act may be cited as the Cutting Costly Codes Act of 2015.

2.  Prohibiting replacement of ICD–9 with ICD–10 in implementing HIPAA code set standards

(a)  In general

The Secretary of Health and Human Services may not implement, administer, or enforce the regulations issued on January 16, 2009 (74 Fed. Reg. 3328), the regulation issued on September 5, 2012 (77 Fed. Reg. 54664), or any similar regulation, insofar as any such regulation provides for the replacement of ICD–9 with ICD–10 as a standard for code sets under section 1173(c) of the Social Security Act (42 U.S.C. 1320d–2(c)) and section 162.1002 of title 45, Code of Federal Regulations.

(b)  GAO report on ICD–9 replacement

(1)  Study

The Comptroller General of the United States, in consultation with stakeholders in the medical community, shall conduct a study to identify steps that can be taken to mitigate the disruption on health care providers resulting from a replacement of ICD–9 as such a standard.

(2)  Report

Not later than 6 months after the date of the enactment of this Act, the Comptroller General shall submit to each House of Congress a report on such study. Such report shall include such recommendations respecting such replacement and such legislative and administrative steps as may be appropriate to mitigate the disruption resulting from such replacement as the Comptroller General determines appropriate

Read the original posting on govtrack.us 

Stricter Incident-to Rules Could Mean Less Revenue for Practices

The doctor who initiates a patient's care will have to be in the office when patients are being seen by non-physician practitioners (NPP) if the practice wants to bill incident-to services, according to a CMS proposal in the proposed 2016 Medicare physician fee schedule.  

Currently, the physician supervising the incident-to service does not need to be the same one who originally saw the patient.  CMS seeks to remove a sentence in the regulation that allow that and replace it with the new policy.

That would mean more NPPs would bill directly to Medicare to receive 85% reimbursement as opposed to the 100% reimbursement a practice receives billing incident-to services. 

Read the full article by the DecisionHealth Staff on Part B News.