One Year ICD-10 Delay Just Right, CHIME Says - InformationWeek

InformationWeek is part of the Informa Tech Division of Informa PLC

This site is operated by a business or businesses owned by Informa PLC and all copyright resides with them.Informa PLC's registered office is 5 Howick Place, London SW1P 1WG. Registered in England and Wales. Number 8860726.

IoT
IoT
Government // Leadership

One Year ICD-10 Delay Just Right, CHIME Says

College of Healthcare Information Management Executives says the government's recommendation to postpone compliance with the new medical billing code system until 2014 strikes the right balance.

The Great ICD-10 Debate: Healthcare Coding Transforms
The Great ICD-10 Debate: Healthcare Coding Transforms
(click image for larger view and for slideshow)
Postpone ICD 10 until 2014 because it's the perfect middle ground. That's the message the College of Healthcare Information Management Executives (CHIME) recently sent the U.S. Department of Health and Human Services.

In a letter to HHS Secretary Kathleen Sebelius, CHIME said the one-year delay is an attempt to balance the interests of all stakeholders by identifying a "middle ground" between those who urge a longer delay and those who don't favor any further delay. CHIME believes either extreme "would create more problems than it would solve."

"A longer delay would seriously disrupt ongoing efforts to convert to ICD-10. And, as HHS itself recognizes, a longer delay would significantly increase the costs of converting to ICD-10," the letter said.

In a previous letter, CHIME also warned that it would be a serious mistake to set different ICD-10 compliance dates for physicians and hospitals, and the proposed rule has wisely avoided doing so. As CHIME emphasized back in February, "in order for the ICD-10 conversion to go as smoothly as possible, all segments of the provider community need to be in lockstep... We, therefore, urge you to preserve the same ICD-10 compliance date for both physicians and hospitals in the final rule."

[ Is it time to re-engineer your clinical decision support system? See 10 Innovative Clinical Decision Support Programs. ]

On the other hand, HHS stated that if it decided to consider different ICD-10 compliance deadlines for different covered entities, it believes that it would be most useful to set an earlier compliance date for health plans (payers). CHIME concurs, saying "this would allow physicians and hospitals an additional and needed opportunity to test ICD-10 transactions with payers. In other words, a consistent compliance date across the provider community and an earlier date for payers would make the delay much more meaningful."

CHIME also recommended that HHS move gradually toward its proposed compliance deadline for ICD-10 and dismiss calls to "leapfrog" from ICD-9 to ICD-11. "While the maturity of ICD-11 may hold great benefits in the future, we believe such claims are speculative, at best, because so much is yet to be developed," the letter stated.

In an interview with InformationWeek Healthcare. George Hickman, executive VP and CIO at Albany Medical Center, called attention to "the complexity of the information exchange interdependencies that exist between all of those various constituents that use the codes." He pointed out that hospitals, physician practices, and payers have to change code sets at the same time because the codes affect how clinical content is communicated with the various technologies and systems that are used by each group.

"Because these systems have to cooperate with one another, if one is still in the world of ICD-9 and the other in the world of ICD-10, that is going to create a lot of cost and complexities to match things up," Hickman said.

The 2012 InformationWeek Healthcare IT Priorities Survey finds that grabbing federal incentive dollars and meeting pay-for-performance mandates are the top issues facing IT execs. Find out more in the new, all-digital Time To Deliver issue of InformationWeek Healthcare. (Free registration required.)

We welcome your comments on this topic on our social media channels, or [contact us directly] with questions about the site.
Comment  | 
Print  | 
More Insights
Commentary
AI Regulation: Has the Time Arrived?
John Edwards, Technology Journalist & Author,  2/24/2020
News
Fighting the Coronavirus with Analytics and GIS
Jessica Davis, Senior Editor, Enterprise Apps,  2/3/2020
Slideshows
IT Careers: 10 Job Skills in High Demand This Year
Cynthia Harvey, Freelance Journalist, InformationWeek,  2/3/2020
White Papers
Register for InformationWeek Newsletters
Video
Current Issue
IT Careers: Tech Drives Constant Change
Advances in information technology and management concepts mean that IT professionals must update their skill sets, even their career goals on an almost yearly basis. In this IT Trend Report, experts share advice on how IT pros can keep up with this every-changing job market. Read it today!
Slideshows
Flash Poll