Noblis top 10 ICD-10 list

Carl Natale
by Carl Natale

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.