President signs H.R. 4032 into law, ICD-10 delayed until at least 10/1/2015

President Obama signed the so-called ‘doc fix’ bill, Protecting Access to Medicare Act of 2014 into law on April 1, 2014.  Included in this bill was a last minute provision that delayed the implementation of ICD-10 from 10/1/2014 to at least 10/1/15. Reactions from both sides of the ICD-10 debate have been mixed:

“We are extremely disappointed by today’s vote. We understand the considerable hours, resources, and money CHIME members and their organizations have spent preparing for the transition. This pause in momentum discredits the significant work our industry has spent training staff, conducting testing, and converting systems; not to mention the hold on improving care quality and accuracy, advancing clinical reporting and research, and patient safety outcomes.”  – Russell P. Branzell, FCHIME, CHCIO, President and CEO

“Implementation of the ICD-10 code set will be delayed at least one year, based on a provision in a federal law signed Tuesday that will prevent the U.S. Department of Health and Human Services from implementing the new code set before Oct. 1, 2015.The delay gives physicians a much-needed extra year to prepare for implementation of the costly code set, which is developed by the World Health Organization and adapted for U.S. use by the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services.” – American Medical Association

On behalf of our more than 72,000 members who have prepared for ICD-10 in good faith, AHIMAwill seek immediate clarification on a number of technical issues such as the exact length of the delay, said AHIMA CEO Lynne Thomas Gordon, MBA, RHIA, CAE, FACHE, FAHIMA. Since the transition to ICD-10 remains inevitable and time-sensitive because of the potential risk to public health and the need to track, identify and analyze new clinical services and treatments available for patients, AHIMA will continue to help lend technical assistance and training to stakeholders as they are forced to navigate the challenge of continuing to prepare for ICD-10 while still using ICD-9.” –American Health Information Management Association

Florida Chiropractic Conferences will continue to monitor the ICD-10 situation and its impact on Chiropractors. Check back here for updates or subscribe via the links on the right to stay up to date with the latest.

Senate Expected to Pass House SGR/ICD-10/Two-Midnight Bill on Monday

The U.S. Senate on March 31 is expected to vote on and pass the House version (H.R. 4302) of legislation to put another annual patch on the Medicare SGR payment formula for physicians, delay the ICD-10 compliance date to October 2015 and further delay enforcement of the Medicare two-midnight payment policy until March 2015.

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ICD-10 FAQs for Chiropractors

Dr. Evan Gwilliam wrote the article below for Dr. Gwilliam will be teaching a 6 hour course specific to Chiropractic about ICD-10 for the FCC in several cities this year. Click here for more information!


Written by  Evan M. Gwilliam, DC, CPC, NCICS, CCPC, CCCPC

Do you remember those bands from the 1970s and 80s who only came up with one great hit? You know the songs word for word when you hear them now, but you can’t seem to remember the name of the band, because they never came up with anything else. These are the so-called “one-hit wonders.”

As the director of education for the ChiroCode Institute and the only chiropractor who is also an AAPC-certified ICD-10 instructor, I have been invited to speak in dozens of states to help train doctors of chiropractic, who, unlike many health professionals, do not have certified professional coders on staff. In other words, I have become one of those one-hit wonders. I feel like a bit of a rock star who knows that the ICD-10 song is my only hit, but heck, I may as well enjoy my short-lived fame. As I write this on an airplane, I am en route to speak in two states, one audience expected to number about 370 and the other 400. Both of these are “sold-out” events, and as such, I have been invited back to speak three more times in both states. I am pretty much booked like this every week for the next six months.

A few weeks ago, I taught a webinar on ICD-10 for chiropractors. It too was “sold out,” with a maximum of 1,001 participants. I agreed to respond to any unanswered questions that were posted to the chat during the event, but once I received the 18-page list I immediately regretted my offer. Listed below is a selection of some of the most common questions I hear at my events. I post it here in the hopes that I can just refer future audiences to this and minimize my repetition. Since there were so many questions, this piece is part one of three.

ICD-10 seems to have suddenly come to the forefront in the world of healthcare, and it is expected to remain there for the next year or so. I predict that five years from now, folks will wonder why it was such a big deal. It will be very familiar to everyone, much like those great one-hit wonder rock songs from the 1980s.

Questions Asked by Attendees

Q: Do you anticipate that the specialty ICD-10 books will need to be updated after the Medicare LCD list is made public?
A: No. The Medicare LCD is drawn from the same tabular list found in most specialty books because the codes were frozen in 2012. Products such as “commonly used codes” lists may change a little because they were created based on too many unknowns. Regardless, the tabular list in specialty books will remain unchanged and should include everything chiropractors will need.

Q: Where can you find a common code list?
A: In the ChiroCode ICD-10 book we created about 12 pages of commonly used codes, sorted by anatomical regions. These codes were selected based on commonly used ICD-9 equivalents and by just browsing the code set to look for new codes that chiropractors might use. Watch for the latest Medicare LCD with the ICD-10 codes that chiropractors will be able to submit on claims beginning Oct. 1. It is anticipated that most payors will use similar codes.

Q: Is there one source to go to look up ICD-10, or should we look it up in multiple books?
A: You can purchase the full ICD-10-CM code set from several publishers or download it for free from Most chiropractors will probably only need a few hundred of the codes at most. The ChiroCode ICD-10 book contains about 12,000 of the 68,000 codes available. If you are in a multidisciplinary practice, you may want to purchase other specialty books or the complete code set. You can also search the code set and access general equivalency mappings, or GEMs (for code mapping), with the free FindACode app on a tablet or smartphone.

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The new biennium begins on April 1st, 2014! We are giving away free CE hours to be used within the 2014 – 2016 biennium. To enter:

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Florida Chiropractic Conferences is dedicated to serving the Chiropractors and other allied health professionals in the state. We mean it when we say, “We are here for YOU“. Many of you have expressed your frustration with the amount of emails you receive. Our goal with our emails is to inform about our conferences and Chiropractic news in the state. So, to accomplish this without cluttering your inbox, we will now send out a weekly newsletter on Wednesdays only. You can expect the same content as before in a single, streamlined email every Wednesday morning. You can always check out our blog, FCC News, to find out about the latest FCC and Chiropractic news at your convenience!