I offered that groups such as the MGMA pretty much supported an ICD-10 delay, but I doubted whether a group like MGMA had sufficient clout to ram through a postponement.
"Most of the physicians now, well over 50 percent, are working within health systems, so you would think the health systems would carry their voice to try to get this where it needs to be. But in the end, if you had to balance payment reform and losing 25 percent of your income versus ICD-10, it sounds like payment is going to take precedence," Branzell says.
During our chat, I mentioned to Branzell that I had had a conversation earlier in the day with an EHR vendor who noted that large, well-capitalized healthcare systems are either continuing on with their ICD-10 plans or have actually gone live with ICD-10 already.
According to this vendor, who asked not to be identified, such large, prepared providers plan to simply "backcode" to ICD-9 for the next year. I wondered, however, if that is an indicator of a widening disparity between those who have the resources to do that and those who do not.