News | August 01, 2014

Deadline for ICD-10 Allows Healthcare Industry Ample Time to Prepare for Change

Deadline set for Oct. 1, 2015

August 1, 2014 — The U.S. Department of Health and Human Services (HHS) issued a rule today finalizing Oct. 1, 2015, as the new compliance date for healthcare providers, health plans, and healthcare clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the healthcare industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.

The ICD-10 codes on a claim are used to classify diagnoses and procedures on claims submitted to Medicare and private insurance payers. By enabling more detailed patient history coding, ICD-10 can help to better coordinate a patient’s care across providers and over time. ICD-10 improves quality measurement and reporting, facilitates the detection and prevention of fraud, waste and abuse, and leads to greater accuracy of reimbursement for medical services. The code set’s granularity will improve data capture and analytics of public health surveillance and reporting, national quality reporting, research and data analysis, and provide detailed data to enhance healthcare delivery. Healthcare providers and specialty groups in the United States provided extensive input into the development of ICD-10, which includes more detailed codes for the conditions they treat and reflects advances in medicine and medical technology.

“ICD-10 codes will provide better support for patient care, and improve disease management, quality measurement and analytics,” said Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services (CMS). “For patients under the care of multiple providers, ICD-10 can help promote care coordination.”

Using ICD-10, doctors can capture much more information, meaning they can better understand important details about the patient’s health than with ICD-9-CM. Moreover, the level of detail that is provided for by ICD-10 means researchers and public health officials can better track diseases and health outcomes. ICD-10 reflects improved diagnosis of chronic illness and identifies underlying causes, complications of disease and conditions that contribute to the complexity of a disease. Additionally, ICD-10 captures the severity and stage of diseases such as chronic kidney disease, diabetes and asthma.

The previous revision, ICD-9-CM, contains outdated, obsolete terms that are inconsistent with current medical practice, new technology and preventive services.

Much of the industry has already invested resources toward the implementation of ICD-10. CMS has implemented a comprehensive testing approach, including end-to-end testing in 2015, to help ensure providers are ready. While many providers, including physicians, hospitals, and health plans, have completed the necessary system changes to transition to ICD-10, the time offered by Congress and this rule ensure all providers are ready.

For additional information: www.cms.gov/ICD10

Related Content

Digital mHealth advances like wearable heart monitors, use of smartphone apps and artificial intelligence will reshape the standard of care in the coming years according to three recent JACC articles.

Digital mHealth advances like wearable heart monitors, smartphone apps and artificial intelligence will reshape the standard of care in the coming years according to three recent JACC articles.

Feature | Information Technology | June 05, 2018
June 5, 2018 — The future of cardiovascular care will be transformed by advances in artificial intelligence, digital
Lumedx Demonstrates Advanced Analytics at HIMSS18
News | Information Technology | February 20, 2018
February 20, 2018 – LUMEDX Corporation, a top cardiovascular data intelligence company, will show off the latest in a
ACC Unveils Innovation Roadmap for Future of Healthcare Delivery, the future of cardiology.
News | Information Technology | January 09, 2018
In a new health policy statement, the American College of Cardiology (ACC) identifies how to best support healthcare...
Nuance Restores Service to Majority of eScription Clients Following Malware Incident
News | Information Technology | July 28, 2017
Nuance Communications Inc. provided an update on its restoration process following the previously reported June 27,...
News | Information Technology | May 11, 2017
McKesson Imaging & Workflow Solutions, an industry leader in providing healthcare IT and imaging solutions, is...
ECRI Institute, top 10 patient safety concerns, 2017 report, information technology, healthcare
News | Information Technology | March 24, 2017
Safe implementation of new technologies and therapies accompany classic patient safety challenges on ECRI Institute's “...
Frost & Sullivan, Healthcare Industry Outlook 2017 analysis, information technology, healthcare IT
News | Information Technology | March 08, 2017
Despite global political uncertainties and a sluggish economic outlook for 2017, the global healthcare industry is set...
Mercy, HIMSS 2017, Enterprise Davies Award, health information technology
News | Information Technology | February 21, 2017
Mercy, the fifth largest Catholic healthcare system in the nation, was named a 2016 Healthcare Information and...
Frost & Sullivan, 18 technologies, growth opportunities, global healthcare, information technology, 2025
News | Information Technology | January 16, 2017
Frost & Sullivan has released a new report, “Vision 2025 – Future of Healthcare,” part of the company’s Advanced...
ACC, American College of Cardiology, Google search, heart conditions, Health Knowledge Graphs
News | Information Technology | September 23, 2016
A Google search for heart conditions will now prominently display important questions patients should ask their doctor...
Overlay Init