Physician groups are lagging in their readiness to meet the Oct. 1, 2014, compliance deadline for ICD-10, according to research released Thursday by the Medical Group Management Association, Healthcare IT News reports (Manos, Healthcare IT News, 6/13).
Background on ICD-10
U.S. health care organizations are working to transition from ICD-9 to ICD-10 code sets to accommodate codes for new diseases and procedures. The switch from ICD-9 to ICD-10 code sets means that health care providers and insurers will have to change out about 14,000 codes for about 69,000 codes.
In August 2012, HHS released a final rule that officially delayed the ICD-10 compliance date until Oct. 1, 2014 (iHealthBeat, 6/4).
MGMA's research -- which includes responses from about 1,200 medical groups where 55,000 physicians practice -- found that only 4.8% of responding practices have made significant progress when rating their overall ICD-10 implementation readiness.
According to the research, physician practices' greatest concern is lack of communication and coordination between physician practices and their trading partners -- such as electronic health record vendors and claims clearinghouses (Healthcare IT News, 6/13).
MGMA also found that 55% of respondents reported being "very concerned" about the costs associated with the transition to ICD-10, while 70% were "very concerned" about the loss of clinical productivity after transitioning to ICD-10 code sets (Bowman, FierceHealthIT, 6/13).
The research found that among organizations covering the expense themselves, the average cost for a 10-physician practice to replace or upgrade its EHR system and practice management software to accommodate ICD-10 is $201,690.
In addition, the research found:
- 88% of respondents are concerned or very concerned about expected clinical documentation changes;
- Nearly 60% of respondents reported they are "not at all" or "slightly confident" their major health plans will be ready to meet the ICD-10 compliance date;
- More than 52% of respondents indicated they have not heard from their practice management system vendor about when software upgrades would be available; and
- Nearly 50% have yet to hear from their EHR vendor about when software upgrades would be available (Healthcare IT News, 6/13).