Less Than 10 Percent Physicians ICD-10 Ready

A research released by Medical Group Management Association (MGMA) throws light on the overall readiness of healthcare industry to meet the Oct. 1 ICD-10 deadline, finding it “continues to be slow.” The MGMA research corroborates the findings of another recent survey conducted by QualiTest which showed providers were far from ready for the October deadline.

Also see: ICD-10 Implementation: Half Of U.S. Healthcare Providers 25% Or Less Done, Study

http://livinginthelanghe.files.wordpress.com/2013/07/clueless-doctor.jpgMGMA wrote, “The greatest concern is the lack of communication and critical coordination between physician practices and their essential trading partners (such as claims clearinghouses, electronic health record (EHR) vendors and practice management system vendors) regarding software updates and testing, which has not yet occurred. Only 4.8% of practices reported that they have made significant progress when rating their overall readiness for ICD-10 implementation.” [@HealthITplus]

“The transition to ICD-10, with its substantial impact on documentation of clinical care, physician productivity and practice reimbursement, is unprecedented,” stated Susan L. Turney, MD, MS, FACMPE, FACP, MGMA president and CEO. “It is proving to be one of the most complex and expensive changes our healthcare system has faced in decades. Adding to the implementation challenge and clearly taxing all stakeholders, ICD-10 will arrive at the same time that a number of other transformative federal policies go into effect, such as health insurance exchanges and Stage 2 of the CMS Meaningful Use EHR Incentive Program.”

The key findings of the survey were:

  • 5.9% of respondents reported that internal software testing has begun or is complete with their practice management software vendor (4.7% with their EHR vendor)
  • 11.9% of respondents reported that external testing with their clearinghouse has started or is complete
  • 60% reported that they have not even heard from their clearinghouse regarding a testing date
  • 8.6% have started or have completed testing with their major health plans
  • 70% stated that they have not heard from their major health plans

“A successful transition to ICD-10 requires coordination between providers and their vendor, clearinghouse and health plan trading partners. Our data suggest that many practices are in the dark in terms of moving forward with ICD-10 as this coordination has not yet occurred,” said Turney. “Without the necessary software changes and testing, practices will have no confidence that they will be paid for the care they deliver to their patients after Oct. 1, 2014. In order to prevent disruption to the nation’s healthcare system, we call on vendors, clearinghouses and health plans to immediately release their implementation and testing schedules.”

MGMA also notes additional provider concerns, including:

  • 60% of respondents stated they are “slightly” or “not at all confident” that their major health plans will be ready to meet the Oct.1, 2014 compliance date
  • 88% are concerned or very concerned about the expected changes to clinical documentation
  • 87.5% are concerned or very concerned about the loss of clinician productivity after implementation
  • 81.1% of respondents indicated they are concerned or very concerned with the overall cost of switching to ICD-10

This post originally appeared on Advanced Healthcare Network

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