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AMA Seeks to Stop ICD-10, Cites Soaring Costs

John Commins, for HealthLeaders Media, February 13, 2014

The AMA also notes that software vendors have lagged in preparing for the new code set, which means that practices can't conduct their own tests or implement workflow changes to ensure their new systems work.

As the Oct. 1 implementation date nears, physicians' professional associations have become more strident in voicing their concerns. Last week, the Medical Group Management Association issued a survey of more than 570 practices representing more than 21,000 physicians and found that less than 10% of them had made significant progress when ranking their overall readiness for Oct. 1, up from 4.7% in June, 2013.

MGMA Senior Policy Advisor Robert Tennant says providers, payers, the government, and other players in the ICD-10 movement are not working in a cohesive and coordinated fashion.

"ICD-10 is like a cascade. Things can't happen until other things happen," Tennant says. "What we are finding through research and discussions with our members and industry [is that] the pieces aren't coming together as quickly as the government had expected them to. That includes software vendors, clearinghouses, [and] health plans. Nobody seems to be out front and leading the pack, and that includes the government."


John Commins is a senior editor with HealthLeaders Media.

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9 comments on "AMA Seeks to Stop ICD-10, Cites Soaring Costs"


terry dodson (3/27/2014 at 5:12 PM)
I have worked for physicians for years. most of the older ones are considering retiring. people who are only coders may have 1 opinion but those of us who wear multiple hats are very unhappy. despite the rah,rah cheerleaders , this is still going to be expensive,stressful and chaotic. I don't think people have any idea how horrible this will turn out. thank you

Jan (3/26/2014 at 6:54 PM)
As a coder, I am so beyond ready to move forward with ICD-10. We have done the training and understand the reasoning behind the changes that are made in the ICD-10 code sets. One more year delay will do nothing to improve this in any way. We are ready. Let's get this done! NO DELAY! PLEASE! We've waited long enough. Other nations are already working on ICD-11. We are already behind. Don't delay this any further. There is nothing to be gained from this delay!

Frank T. (3/7/2014 at 11:01 PM)
As a Physician for my small solo practice, I code by myself. Patients are very happy for small wait time. I have memorized most of my Dx codes. Now with this ICD-10 , I can't. I am not seeing any "better care" but waste of time and money. A knee injury if you explain it better, still you can't "perfectly" explain it and you actually can spend the whole day, week, months, years to talk about it( just look at scientific research papers). Even draw Quantum Tensors in Space-Time and explain at what electron orbit the injury has taken place. Even if that it is not enough, we could explain it further by Einstein's formula and Plank's quantum variable or even expand it further to subatomic God particle to avoid "fraud and abuse and waste". In reality with increase number of patients and demand of access this is nothing but a waste of time by itself. Even ICD-9 was too much and for a solo outpatient practice must be weaned down to only 3 to 4 codes to be practical and friendly. Sorry for non physicians for not understanding it because they don't treat patients but papers. Their intelligence is not enough to understand it or jealousy and hatred of lack of success in their lives has hindered their miserable lives so bad that they have to make life miserable for others who care daily for sick people.