New law moves ICD-10-CM implementation to 2015
Save the date: A new law has deferred implementation of the
World Health Organization’s International Classification
of Diseases- 10 (the United States will use the ICD-10-CM
version) diagnostic codes for insurance reimbursement from
Oct. 1 of this year to Oct. 1, 2015.
President Barack Obama signed the law, called the
Protecting Access to Medicare Act of 2014, in April.
Until the new 2015 deadline, practitioners should continue
to use the ICD-9-CM for coding and billing — these codes are
familiar to psychologists as the DSM-IV was “harmonized”
with the ICD-9-CM. Both ICD-9-CM and ICD-10-CM codes
are in the DSM- 5.
APA is encouraging practitioners to use the extra year to
learn the ICD-10-CM codes to get ahead of the switch. ICD-
10-CM differs significantly from ICD-9-CM: It has more
codes and a new alphanumeric coding system that replaces the
former numeric system. An APA book, “A Primer for ICD-10-
CM-Users: Psychological and Behavioral Conditions,” available
at www.apa.org/pubs/books/4317336.aspx, also offer guidance
on the revised ICD.
The new law also averted the 24 percent Sustainable Growth
Rate (SGR) cut in Medicare provider payments that had been
scheduled to take effect on April 1. The law postpones the
cut until March 31, 2015, and extends a 0.5 percent Medicare
reimbursement rate increase through Dec. 31 of this year. The
APA Practice Organization is working to gain permanent repeal
of the SGR formula and advocate for a more reasonable cost
For questions or more information on the ICD-10-CM
transition, email APA’s Practice Directorate at pracresearchpol@
apa.org. Also, see another article on this topic on page 49.
— JAMIE CHAMBERLIN
APA moves closer to a new, more efficient governance system
The APA Council of Representatives will vote in August
on a final set of recommendations aimed at making the
association’s governance system more nimble, efficient and
The revisions were recommended as part of the
Good Governance Project (GGP), an outgrowth of APA’s
Strategic Plan, which calls for optimizing organizational
APA’s current governance system was designed in the
mid-20th century when the organization was much smaller
and its business could be sufficiently conducted with
biannual council meetings. The new model was proposed
after a thorough assessment with input from many member
groups. It has three primary goals: nimbleness, strategic
alignment across the organization and increased member
Under the new structure, APA’s Board of Directors and
the council each take on distinct roles: The board focuses on
running the business of the association, freeing council to
focus on strategic and emerging issues affecting psychology,
and to engage in more thorough dialogues on key policy and
strategic directions. Understanding member wants and needs
will be an integral element of the deliberation process.
So far, the council has approved a plan that includes:
• Delegating APA’s financial authority to the Board of
Directors for a three-year trial period.
• Reconfiguring the board so that it includes members
elected directly by the general membership, as well as seats
for early career psychologists and students.
• Creating a Council Leadership Team to manage that
At its August meeting, the council will consider a final
set of GGP proposals. These include a plan to give each
division, state, province and territory one seat on the
council and the addition of several seats for members-at-large, and student and early career representatives. The
proposed changes would reduce the size of the council from
175 to 138 members.
Members will have the opportunity to vote on new
bylaws language this fall to put many of these changes into
To watch a video that explains the Good
Governance Project, visit www.apa.org/about/