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  ICD10 Watch
by Tom Sullivan

Noblis top 10 ICD-10 list

Dubbing ICD-10 a “historic event in the healthcare industry,” Noblis published a collection of things healthcare organizations need to know to be prepared for ICD-10.

Much like the consultancies and research firms also issuing advisory reports on ICD-10, Noblis called for a sense of urgency to begin both HIPAA 5010 and ICD-10 projects soon.

And so without further ado, the Noblis top 10 list:

1 The compliance deadline is not flexible
2 Everyone will be affected
3 Private and public health plans will neither accept nor pay on ICD-9 codes
4 ICD-10 is not an ICD-9 maintenance update
5 Automated conversions are not possible
6 ICD-10 migrations cannot wait for EHRs and other health IT initiatives
7 HIPAA 5010 and ICD-10 are government mandates and, as such, both must be implemented
8 ICD-10 is more than a compliance activity
9 Planning and implementation must begin now
10 The first step should be a risk readiness assessment, followed by impact analysis

ICD-10 promises to have “a large impact on policies, business operations, clinical processes, and IT systems,” wrote Todd Couts, manager in Noblis health innovation unit and the report's author. “Given this complexity, healthcare organizations must be strategic at implementing ICD-10 to ensure efforts are synchronized.”

[Related: Will ICD-10 spark coder chaos? See also: Payers downshifting ICD-10 efforts from innovative to pragmatic.]

On the other hand, of course, ICD-10 projects can be strategic, bring competitive advantage, and in some cases healthcare organizations can even use ICD-10 to clean up their business.

Noblis list comes after consultancy Deloitte's 10 things to know about ICD-10 implementation, published in February, in which Deloitte partner Christine Armstrong likened ICD-10 to Y2K in cost and impact, and suggested that a minimum of two years training would soften anticipated productivity impacts while easing the learning curve.

A PDF of Noblis top 10 ICD-10 list is available for download from the nonprofit science, technology and strategy group's Web site.


I have spoken at several

I have spoken at several state AHIMA meetings across the country on ICD-10 Preparedness. The show of hands of people who have started preparing for ICD-10 has been minimal, and many people still think the deadline will be moved. In my presentation, I stress the need to start now by forming a cross-functional project team. Once a team is in place, a project schedule can be developed and readiness assessment started.
Katie Carolan

Health Record Services Corporation

Hi Katie, Thanks for your

Hi Katie,
Thanks for your comments. Say, what do you think it takes to convince people that CMS is not going to change the deadline again?
Tom Sullivan

I certainly agree with the

I certainly agree with the report, the advent of ICD-10 is one of the most important healthcare reforms in recent history- payers and providers alike will be affected and not acting quickly and with a long term plan in mind can affect the bottomline.
Have come across a webinar which should throw some light on the topic
There seems to be alot of discussion in this are - a lot of payers and providers are confised about this and the ICD-10 transition process - the approaches and issues involved
Have come across a free webinar which should throw some light on the topics

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