Here we go again. Just as we have previously reported here in the ICD10monitor e-news about the industry’s half-hearted approach to 5010 adoption, new questions continue to be raised and concerns expressed about just how compliant the nation’s hospitals are. The current issue focuses on the inability of some providers…
The recent Workgroup for Electronic Data Interchange (WEDI) survey results confirm what everyone watching this race to ICD-10 already knows. The proactive and mostly larger groups, facilities, and practices are proceeding full steam ahead for the Oct. 1, 2015 implementation date. The rest of the world is either taking a…
The ICD-10 Coordination and Maintenance (C&M) Committee is a public forum for the presentation of proposed modifications to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and ICD-10 Procedure Coding System (ICD-10-PCS). The committee is responsible for approving coding changes, developing errata, addenda and other modifications. At the…
July 31 brought good news to the healthcare community with the announcement from the U.S. Department of Health and Human Services (HHS) that Oct. 1, 2015 is the new implementation date for the much-awaited ICD-10 coding set.
One of the most sophisticated reimbursement models in the United States involves hierarchical logic for grouping a coded health record into a designated payment group based upon the Medicare Severity Diagnosis Related Group (MS-DRG). This is the basis of payment used in the Medicare Inpatient Prospective Payment System (IPPS). The…
As an integrated healthcare system, Kaiser Permanente is in a unique position when it comes to testing ICD-10. In order to become ICD-10-compliant, the company must test from the position of both a provider (caregiver) and a payer (insurance plan). During the coming months, Kaiser Permanente is targeting to test…
“It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was…
June 23, 2014

All Eyes on Texas

New York Yankees legend Yogi Berra once coined a phrase that seems to fit our present situation: “It’s déjà vu all over again!” The political fastball that none of us saw coming was whacked out of the proverbial ballpark a few weeks ago, with the implementation date of ICD-10 having…
As soon as Congress announced the latest ICD-10 implementation delay, healthcare industry leaders from across the country rallied together to face the facts (not to mention their collective disbelief and disappointment) and figure out how to move forward. First there was the April 30 ICD-10 Summit organized by the Workgroup…
At numerous meetings since the ICD-10 delay was announced, the chasm between large and small providers, entities, and practices has been evident. Obviously, some small groups are well ahead of the pack and some large groups are lagging, but the profound discrepancies keep reappearing. Stanley Nachimson recently commented on the…