ICD-10 Deja Vu – End of Grace Period

Posted on June 8, 2016 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 recently came across this article by Aiden Spencer about the possibility that ICD-10 could still cause issues for healthcare organizations once the grace period ends. Here’s what he suggests:

The CMS grace period was a welcomed relief because it meant practices would still be reimbursed under Medicare Part B for claims that at least had a valid ICD-10 diagnosis code. This meant physicians and their staff could get up to speed without worrying about taking a huge hit to their revenue stream.

With only five months left until the grace period ends, industry experts are predicting that an ICD-10 crisis might still be coming for some providers. Will you be one of them? Are you currently implementing quality medical billing software, or will the system you’re using fail come October 1st?

This certainly feels like what we were talking about last October when ICD-10 went live. A bunch of fuss and very little impact on healthcare. Are we heading for another round of fear and anxiety over the end of the ICD-10 grace period?

My gut tells me that it won’t be a bit deal for most healthcare organizations. They’ve had a year to improve their ICD-10 coding and so it won’t likely be an issue for most. This is particularly true for organizations who have quality HIM staff that’s gone through and done audits of their ICD-10 coding practices to ensure that they were doing so accurately.

I saw one stat from KPMG that only 11 percent of healthcare organizations described the ICD-10 implementation as a “failure to operate in an ICD-10 environment” with 80% finding the move to ICD-10 to be smooth. I imagine we’ll have a similar breakout when the ICD-10 grace period ends. Just make sure you’re not part of the 11 percent.