Texas doctors, through the Texas Medical Association, submitted comments to HHS (Department of Health and Human Services) recommending HHS scraps the implementation of ICD-10 completely. (International Statistical Classification of Diseases and Related Health Problems, 10th Edition).

Original article: Healthcare business news and research ModernHealthcare Article – Texas Suggests Scrapping ICD-10

The Texas Medical Association makes some really good points.

1. ICD-10 has been around since the mid-1990?s and the US is just now getting around to ?officially? adopting them. Given that that ICD-11 is due in 2015, and the costs/benefits of going to ICD-10 are minimal vs. going straight to ICD-11, it?s just makes sense to go straight to ICD-11.
2. ICD-11 is being revised using Web 2.0 principles and designed specifically for incorporation into electronic medical health records.
3. Given that it?s taken more than 20 years to move from ICD-9 to ICD-10, this makes even more sense. Why adopt ICD-10 just in time to be replaced with a better standard?

Another great point, ?HHS should recognize that the costs of going to ICD-11 directly are less than incurring the remaining costs of implementing ICD-10 in 2013 and then implementing ICD-11 sometime soon thereafter.”

TMA is not alone as the American Medical Association, a host of state medical groups and medical specialty societies, submitted their own comments calling for at least a one-year delay in ICD-10 implementation.

One can always hope for common sense to prevail, can?t they? In any case, the implementation deadlines are looming and the US will be moving to a new standard; are you ready?

In February this year we heard that Health and Human Services (HHS) was going to delay implementing ICD-10 diagnostic codes (International Statistical Classification of Diseases and Related Health Problems, 10th Revision, or ICD-10). At that time HHS did not announce a new date. You can read more from my related blog post here.

Yesterday, April 9, HHS posted that Healthcare Practitioners and Organizations would have until October 1, 2014 ? providing another year for compliance.Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data. The deadline was extended in response to physician complaints about the administrative burden of converting to ICD-10.

In 2009, the Centers for Medicare and Medicaid Services (CMS) ordered the change from the ICD-9 code set, which is now in use, to ICD-10, as part of implementing the Health Insurance Portability and Accountability Act. The American Medical Association (AMA) would prefer that HHS implements a more physician friendly replacement, however, HHS has spoken?and so it shall be.  Public comments about the proposed regulations will be accepted for 30 days from publication in the Federal Register. Submit your comments to be heard.

I?m not yet convinced a change from approximately 13,000 diagnostic codes used today, to more than 68,000 codes are going to ?improve the quality of care? and “lead to improved accuracy for reimbursement for medical services, fraud detection, and historical claims and diagnosis analysis.”  In my experience, simplification (remember KISS) is the better approach. We shall see.

At least there is some common sense in this decision and gives Healthcare Practitioners a little breathing room. A year goes by very quickly though, so no time to rest for the weary.