Electronic Health Records

Policy & Regulation News

Many Physicians Reporting a Downside to ICD-10 Transition

By Kyle Murphy, PhD

- A vast majority of physicians report that the ICD-10 transition is having a tangible effect on patient care, according to the social media network for doctors SERMO.

Impact of ICD-10 use on physician productivity

Out of 200 members surveyed, 86 percent indicated ICD-10 having an impact on patient care with the responding report no effect whatsoever.

Individual physician responses highlight the most immediate impact coming in the form of time spent adapting to how the ICD-10 code set works. On the whole, the prevailing criticism of ICD-10 compliance to date from a physician's perspectiv is a decline in productivity and physicians are worried that added time spent conforming to the new code set will impact patient engagement and the number of patient visits.

One pediatrician decried the ICD-10 transition's effect on time spent engaging with a patient during a relatively simple encounter:

  • NY Gov. Awards $6M for Upgrades to Health IT, EHR Systems
  • How Electronic Health Records Can Safeguard Patient Health
  • ONC calls for submissions to improve Blue Button design
  • Hospitals doubted ICD-10 readiness of payers, providers in 2014
  • Government intervenes in 8 HMA admissions kickback lawsuits
  • Two Texas HIEs connect through state-level interface
  • What is the role of health plans in healthcare reform, IT?
  • Epic Competitor Cerner Wins $33M Contract with Wisconsin DHS
  • Role of Integrated EHR Technology in Solving Fragmented Care
  • Sanders: Bedside support will flag patients before they’re sick
  • Allscripts CFO responds to criticism of company’s progress
  • 75% of Practices with NPs, PAs Have Adopted EHRs
  • NeHC: Finances, rapid pace of change rank as top HIE barriers
  • Black Book: Providers Want Seamless EHR, Practice Management
  • WEDI’s Devin Jopp Steps Down as President and CEO
  • Data analytics must provide knowledge before reducing costs
  • IBM: Natural language, machine learning can flag heart disease
  • CMS Confirms Readiness to Assist During ICD-10 Transition
  • Remediation in the EHR-enabled clinic
  • What dangers does EHR adoption present to patient safety?
  • CO Health Insurance Exchange Struggled in Establishment Grants
  • CMS Rule Simplifies Quality Payment Program Requirements
  • Pittsburgh Health Data Alliance Targets Big Health Data Exchange
  • ONC Beacon Communities discuss HIE growth
  • UNC Health Care claws back towards profit after EHR adoption
  • Are physician coaches the answer to EHR adoption challenges?
  • After $31.3B for Meaningful Use, Will CMS Consider Changes?
  • EHR program calls asthma patients when it’s time for a refill
  • Mobile EHR: Taking a long view of iOS v. Android
  • Congressman proposes mHealth bill to measure cost savings
  • ClearBridge Investments Supports athenahealth Acquisition
  • Turning minimum data sets, CCDs into meaningful HIE
  • CPEHR: Professional certification for EHR
  • EHR Use, Administrative Burden Accelerating Physician Burnout
  • Surescripts Facilitated Health Data Exchange Growth in 2016
  • Injured by a turkey: Rep. Poe lampoons ICD-10 specificity
  • Radiologists slow to attest to Stage 1 Meaningful Use despite 90% eligibility
  • Community health centers using EHRs, PCMH to meet ACA needs
  • HIMSS Suggests CMS Reduce Administrative Burden of eCQM Reporting
  • CMS Provides Details for EP Meaningful Use Menu Objectives
  • Meaningful useless? Most patients don’t even want EHRs
  • Meaningful Use Public Health Reporting Varies by State
  • CMS to Inform Clinicians of MIPS Participation Status in May
  • MA doles out $23 million in grants for HIE, care coordination
  • EHR and the VA: Part I - History
  • CMS Comment Period for Quality Payment Program Ends Dec. 19
  • Where does finance fit into EHR adoption, meaningful use?
  • Task Force Urges Faster Pace in Interoperability Governance
  • CMS Seeks Comments on Reporting Clinical Quality Measures
  • Will Specializing EHR Interfaces Solve the EHR Usability Problem?
  • Surescripts Sees Health Data Exchange Growth with 26% Increase
  • Why CMS, Industry Don’t Favor ICD-9, ICD-10 Dual Processing
  • ONC weighing accounting of disclosures in Monday’s hearing
  • What will your EHR implementation cost you?
  • Health IT Interoperability Among AMA’s Concerns for Stage 3
  • DOD isn’t ready to let go of legacy EHR just yet
  • Why EHR Copy-and-Paste Functionality Risks Patient Care
  • Achieving EHR Optimization alongside Meaningful Use of HIT
  • National Patient Identifier Gains Congressional Support
  • Beth Israel announces eMAR roll-out for Stage 2 Meaningful Use
  • Debating effect of Stage 2 Meaningful Use on EHR adoption
  • Wake Forest Baptist feels financial impact of Epic adoption
  • Home health Medicare scam leads to $150 million settlement
  • WEDI to help develop ICD-10 delay action plan at summit
  • ICD-10 might be even tougher for non-HIPAA entities
  • AAFP concerned with effect of EHR safe harbor on PCMHs
  • What to keep an eye on during National Health IT Week
  • Kareo, McKesson Lead the Way in EHR and Health IT Systems
  • Blue Button Expands Access to Include CCDs, OpenNotes
  • ePrescribing Expected and Preferred in 82% of Older Patients
  • No ICD-10 Delay Included in Latest Congressional Spending Bill
  • EHR Incentive Programs Sparked Market to Reach $25 Billion
  • Readers, providers express disapproval of ICD-10 delay
  • Texas Health Information Network Joins Carequality
  • Maryland Governor details state’s path to HIE success
  • Five Ways to Boost Health Information Exchange in the ED
  • Meaningful Use Sustainability to Test Physician Practices
  • eCW, MEDITECH Launch EHR Systems, MU Begins Cerner Implementation
  • How EHR Data Integration, Integrity Hold Back Effective EHR Use
  • HIT Boosts Care Coordination in Patient-Centered Medical Homes
  • Q&A: Device interoperability opens world of accountable care
  • Muddled Kansas HIE situation serves as warning
  • HHS invests close to $1 billion in healthcare innovation
  • VA Shares Vision for EHR Interoperability, Modernization
  • HIMSS Seeks Delay in Use of 2015 Edition Certified Technology
  • Order sets: How to stay current with systematic reviews
  • Are HIE, Patient Access Meaningful Use Requirements Unfair?
  • AHRQ Credits EHRs, Health IT in Helping Decrease HACs
  • MO Coalition Selects Netsmart for Population Health Management
  • Rapid innovation like VA’s Blue Button is key to health IT progress
  • Using health IT, social media to build community care
  • July 3: Deadline for hospitals to begin EHR reporting period
  • AMA Seeks Alignment of Meaningful Use, PQRS, VBM Objectives
  • MiHIN pilots PHI network for meaningful use patient engagement
  • Tablet use improves home health, care coordination at Sutter
  • CMS Proposes Meaningful Use Changes to Promote Interoperability
  • NY Pays $175,000 in Incorrect Medicaid EHR Incentive Payment
  • Health IT Leader at Center of $800K Fraud Scandal in California
  • How do best practices become EHR clinical decision support?
  • Q&A: Planning, training can help the 56% unprepared for EHR
  • I recently saw a young man as a follow up from a car accident. Under the old ICD 9 I would type motor vehicle, and get the choices, passenger and driver. With the ICD 10, I typed motor vehicle, the first 20 choices were 3 wheeled vehicles and all different descriptions. I took a couple of minutes to find the right code. All the time taken from the patient. [A] real waste and no improvement in quality of care.

    Another physician, a family medicine practitioner, determined the impact of the ICD-10 use to have added an additional hour to his time in the emergency room:

    Right now it’s about an extra 60-80 minutes per 12 hour ER shift. Each diagnosis that used to be in the chart from past encounters can't be 'checked off', it has to be re-translated to ICD-10 by the person making the first post 10/1 encounter, which for the next few months will oftentimes be the ER physician. 2-3 sets of multiply nested boxes to filter through per patient, 15-30 times a shift…

    The impact of the ICD-10 transition is likewise reported to have affected how many patients another physician has been able to see:

    ICD-10 is one more impediment to good medicine for the patient. It wastes too much time, decreasing the number of patients I can see a day. I am now having to schedule some return visits farther out than is ideal as a result. Waiting time for new patient appointments is longer.

    The most glaring of negative ICD-10 transition experiences comes a primary care provider who provided this rather lengthy breakdown of events:

    It has added boatloads of time.

    1. We are not able to do referrals because the online referral system will not accept ICD10 codes (for our biggest payer).

    2. Wait times to get thru to insurance company now is hours (3 hours is not unusual)

    3. The personnel at the insurance companies do not know how to answer any ICD10 related questions: the answer is, submit and we will see.

    4. We were locked off the sites of several of our payers because they were updating

    5. Our local Medicare carrier closed for the last week because of technical difficulties

    6. And now the wait game to see if we will be paid

    7. And when all that is ironed out, I expect the 3rd parties and government to reduce our reimbursements using ICD10 and citing quality measures (which they will set to maximize their own profits).

    8. I used to enter my own charges. I quit on October 1st and now my biller is doing it. I used to bill every day.....we are now 3 days behind.

    9. It takes a gazillion of hours to fill out the lab requisition forms looking up new and useless codes.

    and on and on and on...

    and no one is listening...

    More to come as ICD-10 enters its second full week in use.

    X

    EHRIntelligence

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

    Sign up for our free newsletter and join 60,000 of
    your peers to stay up to date with tips and advice on:

    EHR Optimization
    EHR Interoperability
    EHR Replacement

    White Papers, Webcasts, Featured Articles and Exclusive Interviews

    Our privacy policy

    no, thanks

    Continue to site...