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Is ICD-10 the Next y2k?

Posted on September 24, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve started to see more and more people comparing ICD-10 to y2k. I think it’s going to be a great comparison for most organizations. Given the lead time for ICD-10, I believe that ICD-10 is going to be a non-event for most of them. Sure, there will be some hiccups along the way, but nothing major to report.

What’s certain to me is that October 1, 2015 will be a total non-event. I know hospitals are already planning their ICD-10 go live parties, but I don’t think there’s going to be much to talk about. Any problems or issues they have with ICD-10 probably won’t be apparent right away. I think that any major issues with ICD-10 won’t come to light until months after ICD-10 is implemented.

Wait for the stories to come out 2-3 months after ICD-10 is implemented. Then, we’ll start hearing about insurance companies that weren’t ready to process ICD-10 claims or had issues with the way they were processing it. Months later we’ll hear about healthcare organizations that aren’t getting paid and are facing cash flow issues. ICD-10’s impact isn’t going to be over on day one like it was for y2k. It’s a very different issue in that regard.

The other reason I don’t think we’ll hear much about ICD-10 issues is that healthcare organizations that run into issues aren’t going to broadcast that fact. Are we really going to hear healthcare organizations chiming in that they botched their ICD-10 implementation, thought it was going to be delayed again, and weren’t ready? I don’t think so. Any problems with ICD-10 are going to be kept private. At least until an organization isn’t getting paid and goes out of business.

I’m sure we’ll have a wave of ICD-10 implementation articles hit on October 1, 2015. My guess is that none of them will be worth reading since there won’t be anything to say. Wait until Thanksgiving and we’ll start to see the real stories about the challenges of the ICD-10 implementation start to hit the wires.

ICD-10 Survey Results: ICD-10 Business Areas of Concern

Posted on June 4, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Pretty regularly, NueMD does a survey of medical practices that produces some great insights into the small practice world. This year they decided to survey medical practices about ICD-10. They’ve posted the ICD-10 survey results for those interested in really diving into the detailed survey results. They had a total of 1000 responses from primarily small and medium-sized medical practices. That sample size always gives me a little more trust in the survey.

As I looked through their ICD-10 survey results, this is the chart that really stood out to me:
ICD-10 Business Areas of Concern
The thing that attracted me to this chart first is that it highlights a number of areas where a medical practice might be concerned when it comes to ICD-10 readiness. Are you doing the right ICD-10 training and education? Have you done payer testing? Have you budgeted in any software upgrade costs that may be required to meet ICD-10? How about claims processing? Are you ready? Will you be ready by the ICD-10 deadline? These are all good questions that every organization should be asking themselves as we move towards Oct 1 (ICD-10 implementation date for those following along at home).

The second reason I love this chart is that it shows you where organizations are most concerned. I was not surprised to see that many are really afraid of how claims processing is going to go during the transition to ICD-10. What are you and your organization doing to prepare for this? It’s going to be a really big deal for many organizations and could cause them massive cash flow issues if things go bad.

The second highest was Training and Education. This is an extremely challenging one for small practices in particular. Plus, the timing is hard as well. If you train them too early, they’ll forget it come Oct 1st. If you wait to long to do the ICD-10 training, then you might not have time to train everyone that needs to be ready. I’ve seen most organizations training earlier and then doing short refresher courses or content as they get closer.

I’m planning to do another ICD-10 post soon to talk about predictions on whether ICD-10 will go forward or not. So, watch for that in the future. However, I think organizations that aren’t acting as if it’s going forward are playing a game of Russian roulette. They’re certainly braver than I’d be if I were running a healthcare organization.