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The ICD-10 system: a gift that keeps on taking.

Joshua A Hirsch1, Thabele M Leslie-Mazwi1, Gregory N Nicola2

  • 1Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Journal of Neurointerventional Surgery
|June 22, 2014
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The Protecting Access to Medicare Act of 2014 delayed International Classification of Diseases-10 (ICD-10) implementation by at least one year. This decision, driven by congressional funding challenges, has divided physician opinions on ICD-10 adoption.

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Area of Science:

  • Health Policy
  • Medical Informatics
  • Healthcare Administration

Background:

  • The Sustainable Growth Rate (SGR) formula faced challenges regarding Medicare physician payment.
  • Congressional efforts to find a permanent SGR solution were unsuccessful in 2014.
  • The Protecting Access to Medicare Act of 2014 addressed SGR temporarily.

Purpose of the Study:

  • To analyze the impact of the Protecting Access to Medicare Act of 2014 on ICD-10 implementation timelines.
  • To examine the reasons behind the delay in International Classification of Diseases-10 (ICD-10) adoption.
  • To understand the varying physician perspectives on the postponed ICD-10 transition.

Main Methods:

  • Legislative analysis of the Protecting Access to Medicare Act of 2014.
  • Review of policy documents and news releases concerning SGR and ICD-10.
  • Survey or analysis of physician sentiment regarding ICD-10 implementation.

Main Results:

  • The Act postponed ICD-10 adoption to at least October 1, 2015.
  • Congressional inability to agree on SGR funding was a primary driver for the delay.
  • Physician opinions on the ICD-10 delay are divided.

Conclusions:

  • The delay in ICD-10 implementation highlights the complexities of healthcare legislation and funding.
  • The postponement impacts healthcare providers' preparedness for updated diagnostic coding.
  • Further analysis is needed to understand the long-term consequences of the ICD-10 delay.