February 23, 2012
by meagenda
AHIMA: Ten Reasons to Not Delay ICD-10 (ICD-10-CM)
Post #147 Shortlink: http://wp.me/pKrrB-1Xw
This material relates to the forthcoming US specific “clinical modification” of the WHO ICD-10, known as “ICD-10-CM.” It does not relate to other country specific clinical modifications of ICD-10.
Update @ February 27: There has been considerable coverage of HHS’s announcement to delay the compliance date for ICD-10-CM.
Further coverage:
Press release
HCPro
Industry Experts Respond to Announcement of ICD-10 Deadline Delay
February 27, 2012
Industry experts respond as HHS has confirmed its intent to delay the ICD-10 compliance deadline, according to its latest press release. HCPro contacted numerous industry experts for their thoughts on the recent announcement by CMS. Although reactions are mixed, experts agree that forward progress on ICD-10 readiness for providers is essential…
ICD-10 may not be postponed for everyone
Ken Kerry | February 20, 2012
One school of thought is that it will be delayed for a year or two; but CMS’ announcement mentioned that only “certain healthcare entities” would be granted a reprieve. Which entities? We don’t know yet.
On January 16, 2009, Department of Health and Human Services (HHS) published a Final Rule in the Federal Register mandating adoption of ICD-10-CM and ICD-10-PCS to replace ICD-9-CM in HIPAA transactions, with a compliance date of October 1, 2013.
Until implementation, codes in ICD-10-CM are not valid for any purpose or use. ICD-10-CM has been subject to partial code freeze since October 1, 2011.
The 2012 release of ICD-10-CM is now available from the CDC site and replaces the December 2011 release:
International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
HHS announces delay for compliance
On February 16, HHS Secretary Kathleen Sebelius issued a press release announcing that HHS will initiate a process to postpone the date by which certain health care entities are required to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes.
HHS Secretary Kathleen Sebelius said, “We have heard from many in the provider community who have concerns about the administrative burdens they face in the years ahead. We are committing to work with the provider community to reexamine the pace at which HHS and the nation implement these important improvements to our health care system.”
HHS has yet to announce a new compliance date but it is speculated that the delay would be for at least one year, rather than for a few months.
Related content:
Post #142 | February 16, 2012
HHS Secretary Sebelius announces intent to delay ICD-10-CM compliance date
For background see:
Could the U.S skip ICD-10 and leapfrog directly to ICD-11?
February 16, 2012 | Tom Sullivan, Government Health IT
HIMSS statement, February 17, 2012
HIMSS Calls for Maintaining October 1, 2013 ICD-10 Implementation Deadline for Most Healthcare Entities
Information Week report
ICD-10 Delay Worries Health IT Leaders
The train’s already left the station for organizations that have been prepping for an October 2013 ICD-10 deadline, say health IT organizations and CIOs.
Nicole Lewis | InformationWeek |February 22, 2012
Practice Fusion
HHS Asks for a Delay to the Start of ICD-10
Robert Rowley, MD | February 21, 2012
AHIMA issues statement and press release
Yesterday, American Health Information Management Association (AHIMA) issued a statement and press release in response to HHS Sebelius’ February 16 announcement to delay the ICD-10-CM compliance date.
AHIMA represents more than 64,000 Health Information Management professionals in the United States and around the world. www.ahima.org
American Health Information Management Association statement and press release
http://journal.ahima.org/2012/02/22/ten-reasons-to-not-delay-icd-10/
AHIMA statement IDC-10 Delay 02.17.12
Ten Reasons to Not Delay ICD-10
Feb 22, 2012 01:12 pm | posted by Kevin Heubusch | ICD-10
This week AHIMA announced it will reach out to leaders at the Department of Health and Human Services and urge there be no delay in the implementation of ICD-10-CM and ICD-10-PCS.
“We recommend that HHS reach out to the full healthcare community and gather more information about the great strides many have achieved— in good faith—since the ICD-10 deadline was set in January 2009,” said AHIMA CEO Lynne Thomas Gordon, quoted in a statement.
Further, AHIMA encouraged the healthcare community to continue its implementation planning and not let up its efforts.
In a statement released today, AHIMA offered 10 reasons not to delay ICD-10 implementation.
Ten Reasons We Need ICD-10 Now
- It Enhances Quality Measures. Without ICD-10 data, serious gaps will remain in the healthcare community’s ability to extract important patient health information needed for physicians and others to measure quality care.
- Research Capabilities Will Improve Patient Care. Data could be used in a more meaningful way to enable better understanding of complications, better design of clinically robust algorithms, and better tracking of the outcomes of care. Greater detail offers the ability to discover previously-unrecognized relationships or uncover phenomenon such as incipient epidemics early.
- Significant Progress Has Already Been Made. For several years, hospitals and healthcare systems, health plans, vendors and academic institutions have been preparing in good faith to put systems in place to transition to ICD-10. A delay would cause an unnecessary setback.
- Education Programs Are Underway. To ready the next generation of HIM professionals, academic institutions have set their curriculum for two-year, four-year, and graduate programs to include ICD-10.
- Other Healthcare Initiatives Need ICD-10. ICD-10 is the foundation needed to support other national healthcare initiatives such as meaningful use, value-based purchasing, payment reform, quality reporting and accountable care organizations. Electronic health record systems being adopted today are ICD-10 compatible. Without ICD-10, the value of these other efforts is greatly diminished.
- It Reduces Fraud. With ICD-10, the detail of health procedures will be easier to track, reducing opportunities for unscrupulous practitioners to cheat the system.
- It Promotes Cost Effectiveness. More accurate information will reduce waste, lead to more accurate reimbursement and help ensure that healthcare dollars are used efficiently.
If ICD-10 Is Delayed:
- Resources Will Be Lost. For the last three years, the healthcare community has invested millions of dollars analyzing their systems, aligning resources and training staff for the ICD-10 transition.
- Costs Will Increase. A delay will cause increased implementation costs, as many healthcare providers and health plans will need to maintain two systems (ICD-9 and ICD-10). Delaying ICD-10 increases the cost of keeping personnel trained and prepared for the transition. Other systems, business processes, and operational elements also will need upgrading. More resources will be needed to repeat some implementation activities if ICD-10 is delayed.
- Jobs Will Be Lost.To prepare for the transition, many hospitals and healthcare providers have hired additional staff whose jobs will be affected if ICD-10 is delayed.
And Finally…
We Can’t Wait for ICD-11. The foundations of ICD-11 rest on ICD-10 and the foundation must be laid before a solid structure can be built. ICD-11 will require the development and integration of a new clinical modification system. Even under ideal circumstances, ICD-11 is still several years away from being ready for implementation in the United States.*
In the report by Tom Sullivan (Health Care Finance News, February 16, 2012), Christopher Chute, MD, who chairs the ICD-11 Revision Steering Group, warned of a possible further delay for completion of ICD-11, from 2015 to 2016.
Implementation of ICD-11 has already been shifted from 2012 to 2014, then last year, to 2015+. These are projections for pilot, then global implementation for ICD-11.
The DHHS Office of the Secretary Final Rule document, February 2009, stated:
“We estimated that the earliest projected date to begin rulemaking for implementation of a U.S. clinical modification of ICD–11 would be the year 2020.”
Canada uses a clinical modification of ICD-10 called ICD-10-CA. WHO-FIC meeting materials suggest that Canada might not move onto ICD-11 (or a modification of ICD-11) until 2018+. Australia, which uses a clinical modification of ICD-10 called ICD-10-AM, is discussing potentially earlier adoption of ICD-11.
dx revision watch 
Reminder: Comment period on ICD-10-CM proposed delay ends May 17
April 25, 2012 by meagenda
Reminder: Comment period on ICD-10-CM proposed delay ends May 17
Post #159 Shortlink: http://wp.me/pKrrB-23H
On April 9, the US Department of Health and Human Services issued a proposed rule calling for a one year delay in the ICD-10-CM/PCS compliance deadline.
The proposed rule would postpone the compliance date by which providers and industry have to adopt ICD-10-CM by one year, from October 1, 2013 to October 1, 2014.
The proposed rule was published in the Federal Register on April 17, followed by a 30 day period during which CMS will take comments.
Comments should be submitted to HHS no later than 5:00 pm ET on May 17, 2012.
Proposed Rule
More information on the proposed rule is available from this CMS fact sheet
HHS PROPOSES ONE-YEAR DELAY OF ICD-10 COMPLIANCE DATE (CMS-0040-P)
Submitting comment
Submitting comment by post:
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS–0040–P
P.O. Box 8013
Baltimore, MD 21244–8013
Submitting comment online:
Go to the Federal Regulations website, here:
http://www.regulations.gov/#!documentDetail;D=CMS-2012-0043-0001
Hit the Submit a Comment button, top right of web page
http://www.regulations.gov/#!submitComment;D=CMS-2012-0043-0001
For delivery by hand see the Alternate Ways to Comment pop up, top right of Submit a Comment page.
Related material
Press release: April 9, 2012
Summary Proposal Rule
This proposed rule would implement section 1104 of the Patient Protection and Affordable Care Act (hereinafter referred to as the Affordable Care Act) by establishing new requirements for administrative transactions that would improve the utility of the existing Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions and reduce administrative burden and costs. It proposes the adoption of the standard for a national unique health plan identifier (HPID) and requirements or provisions for the implementation of the HPID. This rule also proposes the adoption of a data element that will serve as an other entity identifier (OEID), an identifier for entities that are not health plans, health care providers, or “individuals,” that need to be identified in standard transactions. This proposed rule would also specify the circumstances under which an organization covered health care provider must require certain noncovered individual health care providers who are prescribers to obtain and disclose an NPI. Finally, this rule proposes to change the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2013 to October 1, 2014.
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Filed under Clinical Modification, CMS, HHS, ICD revision process, ICD-10, ICD-10-CM, ICD-10-CM compliance, ICD-10-PCS Tagged with CMS Public Affairs, comment period, hhs, icd coding, ICD-10 delay, icd-10-cm, ICD-10-CM compliance, ICD-10-CM final rule, proposed rule, sibelius