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March 2014

AMA's Opposition to Bill on SGR Fix and ICD-10 Delay Is a Winning Ploy

Incidental to the AMA's opposition to the SGR fix bill is that they fail to actively support the one-year delay of ICD-10 that is included in that bill.     Interesting ploy--oppose a bill that you could live with.     If their opposition fails to change minds and the bill is passed, they are not blamed by others for the ICD-10 delay and they are not blamed by us physicians for not trying to fix SGR.     They get a delay in ICD-10 and they begin hard work to fix SGR next time.     On the other hand, there is obviously no luxury of a "next time" for an ICD-10 delay once the implementation starts.

And, by the way, the dream of skipping ICD-10 and moving to ICD-11  sooner momentarily flickered in my head last night.     The cost analysis of the two possible pathways to ICD-11 would still be interesting.     However, I recognize that the sunken costs into the current pathway to ICD-11 (through an ICD-10 implementation) have grown exponentially since I wrote that blog.

ICD-11 could be implemented within 7 years if we are determined to do so.     But once we implement ICD-10 I fear the industry will not be able to stomach an ICD-11 implementation within a decade.     And if the ICD-10 implementation is a debacle, then I believe thinking about ICD-11 will cause such nausea that it will be delayed 15-20 years.   For ICD-11's sake, I hope the one-year delay holds up in order to mitigate the chances of an ICD-10 debacle this year.

                                                                                                      .