Because of its significant role in revenue cycle management, the Healthcare Billing and Management Association (HBMA) was invited recently to participate in discussions with the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards in Washington, D.C. to provide an update on the status of transitioning from ICD-9-CM to ICD-10-CM by the October 1, 2014, effective date.
In testimony before the NCVHS Subcommittee on Standards, Holly Louie, CHBME, chair of HBMA's ICD-10/5010 committee, presented the association's views on "lessons learned" from the 5010 implementation and how those lessons can and should be applied to avoid problems with ICD-10 implementation. NCVHS is charged with advising the Secretary of Health and Human Services on all HIPAA related matters.
Louie was part of a panel of experts invited. In her testimony, she said, "HBMA believes that we must learn from the mistakes that were made in transitioning from 4010 to 5010, and undertake the transition from ICD-9-CM to ICD-10-CM in a way that demonstrates we learned those lessons."
Louie shared HBMA's concern that in order for there to be a successful transition from ICD-9-CM to ICD-10-CM, "We must allow the 'lessons learned' from the 4010 to 5010 transition last year to materially inform the implementation of ICD-10-CM." Louie pointed out to the subcommittee that "The economic stability of America's health care reimbursement system will be at risk and could be severely compromised, affecting provider financial viability and patients' access to care."
The Centers for Medicare and Medicaid (CMS) has already delayed the effective date for ICD-10-CM implementation from October 1, 2013, to October 1, 2014. Speaking about this delay, Louie said, "It is imperative that the time gained by the delay be used wisely in order to ensure that the transition is successful. If we fail to learn the lessons we will merely be delaying the likelihood for payment disruptions and patient access to care problems from 2013 to 2014."
HBMA strongly recommends the following:
Source: Healthcare Billing and Management Association