Originally slated for October 1, 2013 -- the entire US healthcare industry has been gearing up and getting ready to go. Hospitals and payers will benefit the most from ICD10 implementation. Physician benefits are negligible. However, having more specific diagnosis codes will assist in many areas.
Several years ago a group of CNMs in Pennsylvania sought to perform a study of death records to identify which obstetric interventions -- including C-section -- might correlate with a higher incidence of morbidity and mortality. Guess what?! They couldn't do it. The diagnosis codes were not specific enough to indicate how a woman might die in pregnancy or childbirth or postpartum!
The rest of the planet implemented ICD10 years ago -- but not the US. We have the largest, costliest healthcare system in the world. And we cannot figure this out. One thing is certain: it cannot be done without RNs involved at every level. The non-clinical personnel are simply not ready -- and won't be any time soon!
As you can see from the timeline -- we have been working on this since 2009 when the "original" Final Rule was published by CMS. Three years of training, implementing new software. more training, figuring out who, when, where. how we are going to get this single most difficult coding system implemented.
Here are some links to articles about the deadline change: (Please click each link)