After multiple delays, ICD-10 is now the national (and to some degree, international) standard for the definition of each patient’s health state.    While there are many different standards in other areas, this is the only standard of its kind for the definition of patient condition that is nationally mandated…
EDITOR’S NOTE: The following is part one of a two-part series dealing with challenges facing physicians in their adoption of ICD-10. The day finally came and went. I must admit, I am relieved there were no more delays in ICD-10 implementation. It is time to move forward. But ICD-10 anxiety…
Early reports from the first full day of ICD-10 indicate that some of the nation's practice management system (PMS) vendors are giving a thumbs up to implementation of the new coding set — although, of course, they're still waiting for the ultimate verdict: adjudication of claims.  "Our experience is positive…
The potential for a perfect storm of ICD-10 being implemented and the federal government shutting down on the same day – Oct. 1, less than a week away – is stirring major concerns among providers nationwide. The majority of questions fielded by Centers for Medicare & Medicaid Services (CMS) Principal…
Although many got a laugh (or were completely confused) by former Secretary of Defense Donald Rumsfeld’s infamous convoluted answer to a question, it seems it was prophetic of where we are on the road to ICD-10. “There are known knowns; there are things we know we know. We also know…
When ICD-10 implementation becomes a reality on Oct. 1, 2015, clinical laboratories will continue to experience challenges related to the submission of test requisitions, no matter how prepared they are internally. Administrative problems that exist under ICD-9 will not go away; in fact, they could worsen under ICD-10 if the…
Cooperative Exchange (CE), the National Clearinghouse Association recently surveyed its members regarding its recent ICD-10 testing experiences. The CE received informative and helpful feedback on members testing with different types of payers: Medicare; Medicaid; commercial health plans; Tricare; Property and Casualty (P&C); and group health payers. As you can imagine,…
Regardless of size, many physician practices are struggling with ICD-10 implementation. Over the last couple of months, much of the industry focus has been on smaller practices. This makes sense, given the financial and operational limitations of these practices. However, large practices (i.e., those with 25 or more physicians, as…
On the heels of H.R. 2126, a bill introduced by U.S. Rep. Ted Poe (R-Texas) “to prohibit the Secretary of Health and Human Services (HHS) from replacing ICD-9 with ICD-10 in implementing the HIPAA code set standards,” comes H.R. 2247.
Many across healthcare are continuing to move forward with preparations even despite legislative efforts to delay ICD-10. It’s unfortunate that H.R. 2126, has been introduced, as it doesn’t really represent the majority of our healthcare industry, nor does it recognize the many disease management processes that the new code set…