Latest ICD-10 Delay Re-shuffles the Deck, Irritates Players

Scott Mace, for HealthLeaders Media , April 1, 2014

Another year-long delay in the deadline for implementation of the ICD-10 medical coding set spells frustration for vendors and providers. "This is bad," says CHIME president and CEO Russ Branzell.


Russ Branzell
President and CEO of CHIME

CHIME president and CEO Russ Branzell's mood was one of irritation Monday evening in the wake of the Senate "doc fix" vote which postpones ICD-10 compliance requirements for another year.

"We'll continue to try to push to see with the executive branch and the White House staff [Tuesday] to see if there's any chance at all of doing some education of why this is bad. But at this point, we generally think it's going to go through," Branzell told me.

Senate Passes SGR Fix, Obama Likely to Sign

"Essentially, ICD-10 was being held hostage with the SGR fix and at this point. It had to be voted on tonight and essentially it has to be signed tonight to have an SGR fix effective tomorrow, which is when the original SGR fix sunsets. I would be surprised if it isn't on its way over to the White House to be signed tonight anyway."

I asked Branzell if anybody had identified those groups that had gotten the ICD-10 language inserted.

"I asked the question around today and all I got was that it was predominantly from the specialty and subspecialty medical groups," he said. "We know the AMA wasn't for it, because they put something on their Web site… I would assume that it was more that the specialty groups were pushing for the SGR fix, and this got included in it."

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1 comments on "Latest ICD-10 Delay Re-shuffles the Deck, Irritates Players"

Heather Haugen (4/2/2014 at 9:03 PM)
Interesting conversation. We have been hosting focus groups with CHIME CIOs to understand how the delay will impact progress toward ICD-10. The feedback suggests the delay will slow momentum for larger organizations that were on track for Oct. 1, 2014, but does offer additional time for smaller physician practices and hospitals that weren't going to make the deadline – as well as EHR vendors to ensure their applications are ready. My recommendation is that organizations not delay their preparation, but they do have to rethink their plans to accomodate a delay in timing.ICD-10 must remain a top priority. As for the viability of moving straight to ICD-11, I agree ICD-11 is ultimately where we need to be; however, many of us believe ICD-10 is an important stepping stone due to the differences between ICD-9 and ICD-11. – Dr. Heather Haugen, managing director of The Breakaway Group, A Xerox Company




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