INDUSTRY EXCLUSIVE: CHIME’s Sharon Canner Provides Insight Into ICD-10 Piece of “Doc-Fix” | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

INDUSTRY EXCLUSIVE: CHIME’s Sharon Canner Provides Insight Into ICD-10 Piece of “Doc-Fix”

March 27, 2014
by Rajiv Leventhal
| Reprints
CHIME's Sharon Canner

Moments after the U.S. House of Representatives passed the one-year delay of the temporary Sustainable Growth Rate (SGR) "doc fix" bill, Healthcare Informatics spoke to Sharon Canner, senior director of public policy of the Ann Arbor, Mich.-based College of Healthcare Information Management Executives (CHIME) about why the ICD-10 provision was in the bill to begin with.

HCI learned, according to Canner, that the language concerning the ICD-10 element was created at the behest of a coalition of specialty medical societies under what is called a re-valued code provision. Canner said that in order to mollify these societies, there was a promise to delay ICD-10. Canner was unaware of how long ago this promise was made, saying, “It’s an election year, meaning a lot of funny business is going on that is not entirely clear. We learned this yesterday, and remember, with legislation, there is always some provision that is important to a given group.” Canner went on to say that it is unknown why these specific groups—and she was unclear on what specific medical societies were involved—had a say in regard to the ICD-10 delay.

Canner did believe, however, that the Centers for Medicare & Medicaid Services (CMS) was unaware of this promise, which falls in line with what CMS Administrator, Marilyn Tavenner, R.N.,  said at HIMSS14 in Orlando this February, when she asserted firmly that CMS and HHS would not consider any further delays in the ICD-10 transition beyond Oct. 1 of this year.

Agreeing with CHIME CEO Russell P. Branzell, Canner believes a delay at this point would very disruptive and costly. “Training has been done for coders and systems have been delivered. Many hospitals are working on Stage 2 of meaningful use, so this just adds to it. We’re too far along,” she said.

The bill still needs approval of the Senate before Congress' deadline of midnight on Monday, March 31, and Canner said that it is a very real possibility that the bill can be modified—and still pass—without the ICD-10 delay in it. “The game is still going, and even if the Senate passes this, the White House can veto it. We have miles to go,” Canner said.

The House’s enactment of the temporary SGR “doc fix” came down to politics and the fact that 2014 is an election year, says Loren Adler, research director for the Washington D.C.-based Committee for a Responsible Federal Budget.

“Once it’s not an election year, maybe the chances of getting permanent fix increase. Of course that’s been said for a while, so who knows. But the optimist has to stay hopeful part of the reason Congress didn’t see a permanent fix this year is it being an election year, which makes it hard to do anything on the beneficiary side in Medicare,” says Adler, who expects the bill to pass the Senate and be signed in to law by President Barack Obama on Monday.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



Trump will Nominate Acting VA Secretary Wilkie for Permanent Position

Just a day after the Department of Veterans Affairs (VA) and Cerner inked their $10 billion EHR (electronic health record) deal, President Trump said he would be nominating Acting VA Secretary Robert Wilkie for the permanent position.

ONC Names API Server Showdown Stage 2 Winner

The Office of the National Coordinator for Health Information Technology (ONC) has named 1UpHealth as the Stage 2 winner of the “Secure API Server Showdown” challenge.

EHNAC Developing Trusted Exchange Accreditation Program

To align with the Trusted Exchange Framework and Common Agreement, the Electronic Healthcare Network Accreditation Commission, a nonprofit standards development organization and accrediting body, is working with other organizations to establish a new Trusted Exchange Accreditation Program.

Lawmakers Demand New VA CIO, Citing “Malign Neglect” on EHR Project

A group of Democratic federal lawmakers, five senators and six members of Congress, are calling out the U.S. Department of Veterans Affairs (VA) for what they call “malign neglect” in the agency’s efforts to achieve electronic health record (EHR) modernization.

Medical Record Access Proves Costly for Some Patients, GAO Report Finds

Federal law requires healthcare providers to give patients access to their medical records, but according to a new GAO report, some patients believe they’re being charged too much to access their records.

Parkland’s Innovation Bridge Takes ‘Genius Bar’ Approach to Digital Health Apps

Taking inspiration from the Apple Genius Bar and Ochsner Health System’s O Bar, the Dallas-based Parkland Center for Clinical Innovation in collaboration with Parkland Health & Hospital System has opened an “Innovation Bridge” to assist patients with health-related apps.