Episode 6 of our #ICD10 Roundtable: CMS has released the final rule verifying October 1, 2015 as the new implementation date and has released some testing details, however, nobody is addressing the strategic issue of convincing physicians (AMA and MGMA) that ICD-10 is worth pursuing.
Todd Schnick and Joe Lavelle, Co-Hosts
Jim Hennessy, CEO of e4 Services
- We last talked with Jim just as Congress was passing the SGR fix that included the 1 year delay of ICD-10. Jim tells us how e4’s clients have reacted to the delay since it CMS verified the new implementation date. He also provides insights on how CMS and other payers, application vendors, and other key constituents have reacted to the delay.
- We asked Jim if there is any reason to believe that ICD-10 won’t get delayed again next March when the SGR comes up for the 18th time. He provides great insights on this including observations on the root causes of the delay. Jim delves into the strategic issue that if someone does not help physicians (and their organizations like MGMA and AMA) overcome their objections and concerns about ICD-10, then the same forces that got Congress to delay ICD-10 in 2014 will delay it again in 2015. Jim suggested a potential new framework for implementation where incentives are given to providers that are ready start sending ICD-10 claims on October 1, 2015 and those that are not ready can start at a later date. The incentives need to be financial.
- The Million Dollar Question: Who will lead the effort of engaging Physicians (AMA and MGMA) to list of of their objections to ICD-10 and to develop resolutions for each objection?
- Given that further delays hinge on the resolution of this strategic issue, we asked Jim what he is advising his clients in terms of prioritization of the tactical components of ICD-10 implementation. Again he provides a framework for different levels of “agressiveness” across his clients, but clearly Documentation Improvement should be Priority 1. Further, he advises providers to be at a minimally compliant version of all applications by the end of the year.
- Jim provides the insight that “the aggressive” providers that he serves are already seeing benefits from their ICD-10 efforts, especially where they have really focused on CDI. We will work with Jim and other thought leaders to get the specifics of the benefits that people are already seeing on future episodes!!!
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