Doubled doubt and disappointment in SGR and ICD-10 delays
Regarding “SGR, ICD-10 extensions approved by Senate,” (ModernHealthcare.com, March 31), one-year sustainable growth-rate fixes can be funded annually, but the projection over the next three decades for a permanent fix is a budget buster. Neither Democrats nor Republicans are willing to take the blame for increasing the projected national debt by the hundreds of billions of dollars that the SGR repeal will require.
To compound the SGR disappointment, we face losing the significant investments we have made in ICD-10. These investments will not keep on the shelf for a year. My community hospital has spent thousands of man hours, and hundreds of thousands to millions of dollars preparing for Oct. 1.
Now, it looks as if we will have to do it all again next year, but after two aborted start dates, who knows? Why not go ahead with ICD-10 conversion this October but allow laggards to submit ICD-9 bills for six to 12 months? The CMS and the private plans would need to continue their conversions but be technically able to receive billing in either ICD-9 or ICD-10, which may not be possible. Maybe we should just wait another year and adopt ICD-11.
Dr. James Mhyre