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ICD-10 Deadline Review Update

Andrea Kraynak, for HealthLeaders Media, February 15, 2012

And of course, there are financial considerations. Many organizations have already invested huge dollars preparing.

"Providers and payers have done extensive work and spent millions to get ready for implementation, from training to systems issues, data conversions, budget considerations, staffing, etc. To put this major transition on hold will not only have a negative financial impact on what has already been done and create a major setback when we need to start up again, it will also add a mental blow when implementation comes around again—it feels a little like the boy who cried wolf!" explained Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro.

Mackaman said that those professionals and providers with whom she has spoken are looking ahead to the transition, recognizing that the benefits of moving forward—from data that will assist with improved patient care to improved statistical reporting and payment—far outweigh the advantages of stalling.

"At a certain point you begin to wonder why we don't just wait until ICD-11," said Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, director of HIM and coding, at HCPro. She too questioned the decision to delay so late in the game after providers have already invested in assessments and revised systems.

AHIMA and the AAPC were still formulating comments at the time of publication.


Andrea Kraynak, CPC, is senior managing editor of Medical Records Briefing and HIM Connection. She may be reached at akraynak@hcpro.com.


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2 comments on "ICD-10 Deadline Review Update"


Suzy Chapman (2/18/2012 at 5:54 AM)
http://www.healthcarefinancenews.com/news/could-us-skip-icd-10-and-leapfrog-directly-icd-11 Tom Sullivan reports, above, that Chris Chute (Chair, ICD-11 Revision Steering Group) is now talking about the possibility of shifting the projected completion of ICD-11 from 2015 to 2016. The implementation date for ICD-11 has already been shifted from 2012 to 2014 to 2015+.

Suzy Chapman (2/16/2012 at 8:22 AM)
"Meanwhile, as Kennedy explained, the rest of the world is already using ICD-10 and will likely transition to ICD-11 soon, while the United States is still using ICD-9." Just to clarify, ICD-11, WHO's revision of ICD-10, is still at the Alpha drafting stage; a Beta drafting platform for which stakeholder interaction and input will be invited is timelined for release this year (May 2012). If ICD Revision can meet the Beta schedule, there then follows a 2yr period for ICD-11 Field Trials. The final version for public viewing is currently timelined for 2014 with implementation from 2015+. For comparison of current schedules: DSM-5 slated for publication in May 2013 ICD-10-CM scheduled for adoption in October 2013 ICD-11 scheduled for implementation in 2015+ So unless transition to ICD-10-CM were to be significantly delayed, there would be no overlap between the US's ICD-9-CM and the WHO's ICD-11.