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CMS Has Finalized the ICD-10 Compliance Date, But Does It Even Matter?

August 6, 2014
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Late in the afternoon on July 31, the Centers for Medicare & Medicare Services (CMS) made an announcement that the compliance date for the ICD-10 transition would officially be October 1, 2015. While some groups were pleased that CMS made their announcement, many in the industry held their collective breaths—and for good reason.

Back in April, various industry associations were calling for the federal agency to make the announcement as soon as possible, as confirmation of the date would give organizations the time to appropriately prepare for the new coding system. “While the transition to ICD-10 remains inevitable, it is extraordinarily difficult for organizations to make the proper preparations and investments without knowing the implementation date,” Lynne Thomas Gordon, CEO of the Chicago-based American Health Information Management Association (AHIMA), said at the time. “The announcement of the new implementation date will give the industry the clarity necessary to prepare in the most cost-effective, prudent and strategic way.”

That statement made by Thomas Gordon was in mid-April, only a few weeks after the third delay of the compliance date for the transition to the new coding set was announced. It took three-and-a-half months for CMS to confirm the new deadline to indeed be Oct. 1, 2015.

Last week, in its announcement, CMS stated, “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.” Even the headline of the CMS release—“Deadline for ICD-10 allows healthcare industry ample time to prepare for change”— reeked of defensiveness, as if the agency knew what everyone was thinking: “What the heck took so long?”

So now, please forgive me and the rest of the health IT world for our collective skepticism regarding the just-announced Oct. 1, 2015 deadline. I wholeheartedly agree with what my colleague, Gabriel Perna, HCI’s Senior Editor, tweeted out after the July 31 announcement:

I agree w/ @RHIAkatz's skepticism. Hard to believe that Oct. 1, 2015 will actually be the date if we're being honest w/ ourselves.

After the delay was confirmed in April, Perna wrote a blog expressing his disappointment in the government for pushing the deadline back yet again. In that blog, Perna quoted a line from Marilyn Tavenner, R.N., CMS administrator, who got up in front of a crowd at the Healthcare Information and Management Systems Society (HIMSS) conference in Orlando in February and said, "By now, folks understand that there will be no more delays. Let's face it guys, we've delayed it more than once and it's time to move on."

I actually believed Tavenner. But the old proverb says, “Fool me once, shame on you; fool me twice, shame on me.” Now this is three times. Why shouldn’t we expect a fourth?

"I've been burned too many times over the past few years," Roger Neal, vice president and CIO of the Oklahoma-based Duncan Regional Hospital, told FierceHealthIT last week. "We were ready last time and wasted a ton of money when the final deadline got moved ... this time [we] will limit our cash exposure so we don't waste another million plus."