The AMA also notes that software vendors have lagged in preparing for the new code set, which means that practices can't conduct their own tests or implement workflow changes to ensure their new systems work.
As the Oct. 1 implementation date nears, physicians' professional associations have become more strident in voicing their concerns. Last week, the Medical Group Management Association issued a survey of more than 570 practices representing more than 21,000 physicians and found that less than 10% of them had made significant progress when ranking their overall readiness for Oct. 1, up from 4.7% in June, 2013.
MGMA Senior Policy Advisor Robert Tennant says providers, payers, the government, and other players in the ICD-10 movement are not working in a cohesive and coordinated fashion.
"ICD-10 is like a cascade. Things can't happen until other things happen," Tennant says. "What we are finding through research and discussions with our members and industry [is that] the pieces aren't coming together as quickly as the government had expected them to. That includes software vendors, clearinghouses, [and] health plans. Nobody seems to be out front and leading the pack, and that includes the government."