February 6, 2012

From Awareness to Action: Moving On from Implementation of 5010 to ICD-10


As soon as providers and vendors get over the hurdle of the version 5010 implementation, "We’ll see that everyone’s time and attention will turn to I-10. …They’ll be able to focus on the real work of implementation."

That’s what Denise Buenning, director of the administrative simplification group in the Centers for Medicare & Medicaid Services Office of E-Health Standards and Services, stated during the Jan. 31 airing of the ICD10monitor.com-produced live, Talk Ten Tuesday entitled Reality Check: Where are we now—three years later?


As it does every broadcast, this one included a poll of those in attendance. The question: If you are not 5010 compliant yet, what has been the biggest factor influencing it? Poll results looked like this:

Influential Factor for Delay

Percentage of Total

Not applicable to my organization

68 percent

Vendor software issues

13 percent

Internal workflow, form content, staffing

10 percent

Trading partner issues

7 percent

Internal software

2 percent

Like another broadcast guest, Buenning is hopeful that the 68 percent who replied that the question was "not applicable" to their organizations meant that they did not have any issues with 5010 and are fully compliant.  If that’s not the case, there is cause for concern.

Moving Forward

Each Talk Ten Tuesday broadcast begins with an announcement of the number of days until implementation. On the January 31 broadcast, there were 608 days left, and Buenning said that when she hears the number of days until implementation, it really "brings it home."

A CMS survey done about ICD-10 in early December 2011, showed "incredible awareness" among providers, vendors and clearinghouses. To give them a push, CMS plans to change the tone of its messages from "become aware" of I-10 to "take action." Many of the agency’s new ads indicate that I-10 implementation is closer than you think and create a "sense of urgency," Buenning says.

Also, CMS is "spending a lot of time and effort to help providers and the healthcare community make the switchover." It’s going "full-speed ahead and will continue to work so people are compliant by October 1, 2013."

Gathering Resources

Providers, vendors and clearinghouses are starting to focus on the impacts of the new system, and some face more challenges than others. As Buenning says, "The vendor community and small providers probably will have most difficult time because they don’t have the resources of large organizations, data-processing units etc. They must determine on their own how to effectively and economically make the transition."

Where can they find help? In addition to the CMS website (http://www.cms.gov/ICD10/), Buenning encouraged interaction with professional associations, pointing to several that offer ICD-10 resources on their websites. For example:

She also encouraged attendance at the March 5 meeting of the ICD-10 Coordination and Maintenance Committee—a public forum to discuss proposed changes to ICD-9-CM and ICD-10-CM/PCS. A check of the following website showed that on-site registration is closed, but CMS also states that phone lines may be made available and the dial-in access information will be posted closer to the meeting date. For this information, go to http://www.cms.gov/apps/events/upcomingevents.asp?strOrderBy=1&type=3where.

Sticking to the Date

As we all know, there has been plenty of speculation about whether the ICD-10 implementation date of October 1, 2013, will change—especially since the American Medical Association’s recent actions protesting it. AMA to Congress

Nonetheless, CMS is holding its own when it comes to the implementation date and the value of the new system.

As Buenning reminded all, "ICD-10 is not just a matter of making change for the sake of change. Implementation of I-10 is going to mean better info and quality of healthcare."


Read 41 times Updated on March 16, 2016
Janis Oppelt

Janis keeps the wheel of words rolling for Panacea®'s publishing division. Her roles include researching, writing, and editing newsletters, special reports, and articles for RACMonitor.com and ICD10Monitor.com; coordinating the compliance question of the week; and contributing to the annual book-update process. She has 20 years of experience in topics related to Medicare regulations and compliance.