Members of the Coalition for ICD-10 oppose the provision in Section 212
of the "doc fix patch" package to delay ICD-10 adoption until March 2015.
The Coalition for ICD-10, a broad constituency of organizations from
across the health care community - including hospitals, health plans,
hospital and physician office coding experts, professional associations,
vendors and the HIT community -- maintains that any further delay or
deviation from the October 2014 compliance date would be disruptive and
costly for health care delivery innovation, payment reform, public
health, and health care spending.
"We are extremely dismayed that this provision was included solely for
political reasons - not because it is sound policy," said Sue Bowman,
MJ, RHIA, CCS, FAHIMA, Senior Director, Coding Policy and Compliance for
the American Health Information Management Association (AHIMA), a
Coalition member. "An overwhelming majority of the health care community
has made enormous investments into being ready for adoption in October -
and we shouldn't all lose that effort for political reasons."
The ICD-10 coding standard, scheduled for adoption in October 2014, was
developed as an improvement to the current ICD-9 coding system. Used for
reporting diagnoses by all healthcare providers and for hospital
reporting of inpatient procedures, ICD-10 allows for more specific and
accurate representation of current and future medical diagnoses than is
possible with the 30-year-old ICD-9 codes.
"ICD-10 is the next generation coding sstem that will modernize and
expand the capacity of public and private payers to keep pace with
changes in medical practice and healthcare delivery," added J.C. Scott,
Senior Executive Vice President, Government Affairs for the Advanced
Medical Technology Association (AdvaMed). "New and innovative medical
technologies have been living under a code freeze under the limitations
of ICD-9. It makes no sense to delay something that will provide higher
quality information for measuring service quality, outcomes, safety, and
In a recent
letter to CMS Administrator Marilyn Tavenner, members of the
Coalition expressed their continued support for the October 2014
implementation date and opposition to any actions that would further
delay full compliance with the planned adoption of ICD-10.
"Further delay of ICD-10 discredits the considerable investment made by
stakeholders across the country to modernize healthcare delivery," said
CHIME President and CEO Russell P. Branzell, FCHIME, CHCIO. "Providers
have already dedicated significant time and resources in financing,
training and implementing the necessary changes to workflow and clinical
documentation. Any disruption to the ICD-10 transition at this stage
would be detrimental."
"The healthcare industry has made significant investments in the ICD-10
transition," said Richard Averill, Senior Vice President and Research
Director, 3M Health Information Systems. "If there is any delay,
ICD-9-CM versions of systems will have to be updated to remain current.
This will require any ICD-10 conversion work already performed to be
updated, retested, and reintegrated - greatly increasing the cost of
Signatories of the ICD-10 Coalition letter to Administrator Tavenner
Advanced Medical Technology Association (AdvaMed)American Health
Information Management Association (AHIMA)American Hospital
AssociationAmerican Medical Informatics Association (AMIA)BlueCross
BlueShield AssociationCollege of Healthcare Information Management
Executives (CHIME)Health IT Now CoalitionMedical Device
Manufacturers Association (MDMA)3M Health Information SystemsRoche
Diagnostics CorporationSiemens Health ServicesWellPoint
Visit the Web for more information about the Coalition
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