ICD-10 is Delayed!How do you Regain Balance?

Nicolet A. Araujo RHIAPrincipal, PCGnaraujo@primeauconsultinggroup.com

Commonly Heard Concerns about ICD-10

• Too costly to small physician practices• Too many new codes• Too many “weird” codes

Importance of ICD-10

• Lowering the cost of healthcare• Preventing fraud, waste and abuse• Increasing Administrative efficiencies• Improvements in quality measurement,

public health monitoring and research – translating into improved quality

How Did This Happen?

H.R. 4302 – Protecting Access to Medicare Act of 2014

Timeline:• H.R. 4302 passed on March 27 via voice vote

by House• S.2157 proposed on March 31 but rejected

by Senate• H.R. 4302 passed on March 31 by Senate• H.R. 4302 signed into law by President

Obama on April 1, 2014 (April Fool’s Day)

What is the Impact?

• Software/EHR products

• Hospital/Physician Group Implementation Projects

• ICD-10 Education Schedules

• Coding Educational Programs

What is the Impact? (cont.)

• Quality

• Population Health

Coalition for ICD-10

• Healthcare Industry Advocacy Group

• Calling for a firm new implementation date for ICD-10

• info@coalitionforicd10.org

Now What?

• Recoup monies already spent through actionable

solutions

• Implement practical solutions to be better prepared1. Clinical Documentation Improvement

2. Business Process Redesign

Thoughts and Thanks

Discussion• Questions and Answers

Thank – you• Contact Info:

Nicolet A. Araujo RHIAPrincipal, PCGnaraujo@primeauconsultinggroup.com