ICD10 – Don’t Delay, Make Sure You Do an Assessment

“Make sure to do an assessment,” said Tom Durel, CIO of Valley Baptist Health System in Harlingen, Texas.

Durel told FierceHealthcare that an assessment will help determine scope. At Valley Baptist, there are 70 systems that depend on ICD codes to run. An assessment will also help answer :

How much will it cost us?
How long will it take?
When will software suppliers have code available?
What sequence should things be done in to hit the Oct. 1, 2013 deadline?

“… if you don’t do an assessment and just start down the path, it could get pretty well out of control pretty quickly,” Durel said. His system is about 80 percent finished with its assessment.

Many providers and hospitals are putting off ICD-10 conversions, because they are already struggling with EHR and meaningful use. Funding is another challenge. Durel has heard from people who don’t think ICD-10 is a big deal. He thinks otherwise.

“… if you don’t get it right, you’re not going to get any bills out after Oct. 1, 2013,” Durel said.

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Michael Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, stutdies at Harvard Law School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims).
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