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HIMSS, AHIMA re-assert need for ICD-10 vigilance

February 20, 2012 | Tom Sullivan, Government Health IT

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LAS VEGAS – "This is a bit ironic today," Sue Bowman said, pointing to a CMS-borrowed slide stating that the compliance deadline for ICD-10 is October 1, 2013. "The government threw a big curveball toward many presentations."

Speaking at the HIMSS12 ICD-10 Symposium on Monday morning, AHIMA's director of coding policy and compliance Bowman urged attendees that, even though we do not know when the compliance date will be, it's best to "stay on course, stay vigilant," in your ICD-10 planning and implementation.

HIMSS' Juliet Santos, senior director of business-centered systems, explained during her introduction of Bowman that HIMSS is recommending the same. "I know you're all anxious," Santos said. "But the position HIMSS is taking is we are staying on course and will continue to support" members.

[See also: ICD-10 deadline do-over?.]

The potential delay that HHS Secretary Sebelius announced last week gives attendees more time to understand the value of ICD-10, Bowman said, adding that the benefits include quality measurements, better data for analysis, improved outcomes, tracking and responding to health threats, comparative analysis with other countries that use ICD-10 and greater detail to recognize previously unknown connections or spot epidemics early.

ICD-10 "should not be done in isolation," Bowman said, rather it's part of a broader set of health IT initiatives including meaningful use, value-based pricing, payment reform, quality reporting.

"Think of ICD-10 as being the foundation," Bowman added. "You need that in order to get the better parts of the house." ICD-10, indeed, is the foundation that enables healthcare entities to reap the benefits of those other long-term HIT initiatives.

Responding to an attendee asking why the AMA is so opposed to ICD-10, Bowman said "not all physicians are against ICD-10. Some are overwhelmed by more and more government regulations. It's not necessarily about ICD-10 – that's the last straw."

Joining AHIMA and HIMSS chants for keeping the ICD-10 compliance deadline for October 1, 2013, computer-assisted coding vendor Precyse circulated an open letter here at HIMSS12 on Monday recommending that healthcare organizations continue their focus, while tech vendors Availity, NextGen, and Siemens, in a panel discussion, essentially agreed that pushing the deadline back made little difference to their organizations, at least thus far.

"We need to keep moving forward," agreed Thomas Pacek, CIO of South Jersey Healthcare. "We need to be as ready as possible." Pacek added that talk of a delay makes it harder for him to convince HR of the need to hire more coders. "This has created more headaches for me."

Tom Sullivan
Editor of Government Health IT
Follow Tom on Twitter @GovHITeditor
Related Topics:
  • Juliet Santos
  • Las Vegas
  • Sue Bowman
  • Tom Sullivan
  • ICD-10

Reader Comments (1)Login to Post a Comment

Gpark1018 says: Stay the Course?
February 20, 2012 | 8:00PM GMT

Well...of course!

If Sue is like any of us, she is finding it difficult to re-evaluate her ICD-10 options around an unknown date.

Plan B will be whatever makes the AMA happy. So does anyone have a clue of what that might be? Will it be further delays, ICD-11, SNOMED? Whatever the federal government’s plan will be it will NOT mean staying the course.

Right now you should put a freeze on Coder Education. If ICD-10 is delayed more than six months, you will risk training too early. Skills and abilities will be lost if training occurs too soon.

Don’t freeze Physician Education, just re brand it as a CDI initiative instead of ICD-10. Documentation improvement should be on your budgets annually. Use this time to improve your documentation, as well as documentation workflows. This is a great opportunity to remove paper from your documentation processes in favor of typed or transcription workflows. You can get a jump on ICD-10 and/or ICD-11 today by creating or improving your CDI efforts.

We all have to wait on the delay decision, but I think most would be surprised if the date was before 10/01/2014. In fact, many believe the delay will be at least 2 years. You can update your systems now in preparation for 10/01/2014, but what happens if we leapfrog ICD-10 altogether and jump right into ICD-11? This makes sense of course if the regulations are delayed more than one year. Moving to ICD-11 in 2015 or 2016 would be a bold move, and I am not sure the American Medical Association has the desire to go this route.

What about SNOMED? Some of my most connected friends in the industry believe the feds will and should convert the billing codes to SNOMED before ICD-??. They believe that having two systems, one for clinical and another for financials is ridiculous. I am not bright enough on this topic, but my understanding is that SNOMED can be used across the board and there is a code for any conceivable situation. This move would save a ton of dollars in redundant software and workflows, but again would require the Feds to do something a little more progressive than their typical MO.

You would be somewhat foolish to think the game has not changed, and that staying the course is a prudent move.

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