Electronic Health Records

Policy & Regulation News

ICD-10 Compliance a Struggle for Some Physician Practices

By Kyle Murphy, PhD

- October 1 has come and gone, and nearly two weeks in to ICD-10 compliance most of the healthcare industry is relatively mum on the transition to the newer clinical diagnostic and procedural code set. More than likely, healthcare organizations and professionals are busy enough adapting to ICD-10 and its more specific set of codes.

ICD-10 a struggle for some physician practices

That’s not to say some are not speaking out or in support of ICD-10 compliance.

Two recent weekend reports in the Florida’s Crestview News Bulletin and Maine’s Bangor Daily News paint two very different pictures of ICD-10 compliance at the two-week mark.

Apparently, some physician practices in the Florida panhandle are going through the motions in adapting to the federal mandate for ICD-10 compliance which began back on October 1. Brian Hughes reports that medical offices are encountering difficulties with the code set.

  • 21st Century Cures Act Passes Senate, Awaits POTUS Approval
  • Physician employment is high, but is satisfaction keeping pace?
  • E-prescribing on Surescripts using EHRs increases eight-fold
  • AHA Simplifies MACRA Reporting Requirements for PAC Providers
  • Is patient awareness of health information exchange lagging?
  • How does social media integrate with EHR, PHI?
  • 3 Health Information Exchanges Experiencing Recent Growth
  • Premier Urges CMS to Share Data for Quality Payment Program
  • Cost-cutting might be working as spending only jumps 4.5%
  • Collaborating for EHR Usability Improvements, Patient Safety
  • CMS Offers $30M for Quality Payment Program Measures Development
  • Impact of DoD EHR Modernization Contract on EHR Vendors
  • School health information exchange off to slow start in PA
  • Congress Considering Changes to Meaningful Use Requirements
  • State HIE experiences show challenges, successes at HIMSS13
  • Comments on rural healthcare and telemedicine
  • Online physician reviews bring transparency, engagement
  • Bill aims to give permanence to Medicare ACOs, providers
  • Outdated IT delays ACOs, pay-for-performance models for payors
  • Optimizing the Physician EHR Experience via Training Support
  • Enabling transitions of care through EHR, HIE workflows
  • How Cloud Brings Innovation to Acute Care EHR Technology
  • Docs disapprove of tying Medicare reform to ACA mandate
  • Black Book: 81% of practices committed to EHR replacement
  • Why have EHR adoption, EMRAM scores stalled for hospitals?
  • How standardization can put EHR adopters on the right path
  • Meaningful use audits: Healthcare CMIO reveals details
  • How Certified EHR Technology Affects Population Health Outcomes
  • Home agency, chiropractor, physician accused of Medicare fraud
  • Is a Culture Change Critical for Health IT Interoperability?
  • CMS Reminds Providers of Upcoming ICD-10 Testing Week
  • Will Expectations Meet Reality for Interoperability in 2016?
  • How unnecessary health IT standards stalled innovation
  • Top 5 Ways Health IT Companies Are Changing the EHR Market
  • How did a rural NH hospital achieve Stage 2 Meaningful Use?
  • 35% of EHR users will increase investment in patient portals
  • CDI Moves beyond ICD-10 for Revenue Cycle Management Gains
  • Groups Support Reintroduced Meaningful Use Reporting Bill
  • EHR Interoperability Helps, Hinders Immunization Data Quality
  • mHealth, Data Analytics See $4.7 Billion in 2014 VC Funding
  • Will health information exchange repair care coordination?
  • Study: Use of CPOE cuts likelihood of medication errors in half
  • VA CIO Baker responds to decision to scrap iEHR at hearing
  • Tenn. Health eShare encourages HIE through Direct messaging
  • UPDATE: Final Rule for Meaningful Use Modifications Under Review
  • Siemens Partnership Connects Test Results to EHR Systems
  • MACRA Incentives Likely to Increase Physician Health IT Use
  • Oklahoma HIE Expert Receives Physician IT Leadership Award
  • Health Data Exchange, Standardization Lacking in Chronic Care
  • ICD-10 Coalition Urges Congress to Avoid Additional Delays
  • “Era of unhappy doctors” brought on by burnout, revenue woes
  • How Meaningful Use Requirements Hurt the Small Specialty Practice
  • ONC reminds providers of July 1 hardship exception deadline
  • Medical Data Exchange, Cloud Solutions Impact EHR Design
  • EHR implementation preparation and planning: CIO series
  • Rush Medical Seeks $18M for Defective Patient Monitoring System
  • Massachusetts HIE primes for October go-live
  • MU Researcher: Modifying software reduces tests and costs
  • 33% of providers think accountable care hurts the revenue cycle
  • San Diego EMS Gains Access to EHR Data with ONC SAFR Model
  • ICD-10 best practices: Assessing and improving EHR templates
  • New Stoltenberg program aims at rural providers
  • ONC, Kaiser Permanente discuss the role of health IT in patient care
  • New accountable care organizations form in Ohio, Arizona
  • Relationship between EHR and patient engagement
  • Standardization, Collaboration Drive Interoperability at Cerner
  • EHR, health IT determine ACO success rather than financials
  • Survey Shows Regulations Strain Health IT Professionals
  • FDA brings patient engagement to drug, device approval process
  • ONC revokes EHR certification for two EHRMagic products
  • ONC 2017 Budget Focuses on EHR Interoperability, Transparency
  • How Strong Health Data Governance Ensures EHR Data Integrity
  • ICD-10 education must focus on clinical documentation improvement
  • Greenway becomes latest to form EHR-analytics partnership
  • CMS RFI Seeking Stakeholder Feedback to Improve Interoperability
  • Allscripts receives second round of private-equity bids
  • ACO Plus Partners with Sandlot for HIE boost
  • How Stage 3 MU Concerns Impact EHR Incentive Programs
  • Detail and specificity: What your ICD-10 documentation should look like
  • Evaluating EHR user training experiences
  • ONC Awards $38 Million to Improve Health IT Interoperability
  • mHealth World Congress: Mobile EHR deployment lessons
  • Why Epic Systems Isn’t Part of CommonWell for Data Exchange
  • One quarter of Americans trust mHealth apps as much as their doctor
  • Docs Adapt Better to EHR Workflow Changes with Active Education
  • Epic EHR Interoperability at Center of New Partnership
  • Should ONC decertify EHRs that block interoperability?
  • GAO reports inequalities in regional Medicare incentive payments
  • How Health IT Standards Enable Patient Access to Health Data
  • CMS Chief to Address ICD-10 Implementation in National Call
  • Leapfrog: Most hospitals average in terms of patient safety
  • Mostashari: Accountable care can reduce costs, boost outcomes
  • Medium, small hospital EHR to benefit from Dell-Epic DRIVE
  • How can EHRs enable physicians to manage the cost of care?
  • Congressional Hearing to Assess DoD-VA EHR Interoperability
  • Q&A: ICD-10 success relies on project planning, change management
  • mHealth startups, EHR solutions secure big grants, VC funding
  • How can HIE patient queries save millions in repeat tests?
  • Can EHRs lower malpractice rates, diagnosis errors?
  • Health Information Exchange Focus of Patient Matching Event
  • “Large practices and medical companies, such as Peoples’ Home Health, usually have coders on staff. Their only job is to enter the numbers into billing records and insurance reimbursement forms,” he writes. “For smaller offices like Dr. Herf’s and Mir’s, the increased coding tasks take away staffers’ time with patients.”

    Betty Jordan, the manager of physician practice of Abdul Mir, MD, views ICD-10 as more of a hindrance than a help.

    “It requires so much extra work. If my doctor treated someone for rheumatoid arthritis, there’s hundreds of codes. It’s got to be specific,” she told the Crestview News Bulletin.

    “It is horrible for a primary care doctor,” she further revealed. “For a specialist, they deal with the same things over and over. For us in family practice, we see all kinds of things. It’s overwhelming.”

    For an administrator at the practice of David Herf, MD, the challenge of ICD-10 compliance is the result of increased specificity being married to an increase amount detail.

    “It’s really, really detailed,” Andrew Linares told the news outlet. “Instead of just saying, ‘cyst of the arm or trunk,’ you have to get really specific.”

    For one of the physician practices, adapting to ICD-10 is akin to learning a whole new language.

    The climate in Maine appears much sunnier regarding ICD-10 compliance. Jen Lynds reports high levels of preparation among Maine healthcare organizations and professionals leading to a smooth transition.

    “Health care providers across the state began working Oct. 1 with a new system of medical codes that has them describing illnesses and injuries in more detail than ever before, and officials from hospitals and medical associations said earlier this week that they are prepared for the challenge,” she writes.

    According to Gordon H. Smith, the Executive Vice President of the Maine Medical Association, complaints are scarce as are ICD-10 implementation delays. Director of Communications for the Maine Hospital Association reports the same situation.

    That being said, leadership at Eastern Maine Medical Center are preparing for transition-related productivity decreases for coders and billers used to the previous code set. However, things are still proceeding as planned.

    “Our transition to ICD-10 has gone very smoothly here at Eastern Maine Medical Center,” Director of Coding and Clinical Documentation Improvement Mandy Reid told the Bangor Daily News. “We are using nine contract coders through outside vendors to support the ICD-10 go-live, and we secured them several months ago to be prepared. We also have added three positions in the outpatient area to help support growing volume, as well as ICD-10 coding.”

    The lesson learned so far is that a clinical practice’s ability to invest in ICD-10 preparation (e.g., training) correlates to its present-day confidence in ICD-10 compliance.



    Sign up to continue reading and gain Free Access to all our resources.

    Sign up for our free newsletter and join 1000,000 of
    your peers to stay up to date with tips and advice on:

    EHR Optimization
    EHR Interoperability

    White Papers, Webcasts, Featured Articles and Exclusive Interviews

    Our privacy policy

    no, thanks

    Continue to site...