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As an ICD-10 consulting professional and journalist, I have been fortunate to talk with many hospital CFOs and health information management (HIM) directors over the last year about their ICD-10 efforts.

The contents of these discussions have mirrored the results of several recent industry surveys, indicating that there has been a strong correlation between the size of healthcare institutions and the progress they have made toward full readiness to convert from ICD-9 to ICD-10. However, even organizations that have reported good progress in the past now are experiencing new challenges in their efforts.

One of the most difficult issues is the loss of project momentum. Congress’s surprise delay of the implementation deadline – it was pushed back from Oct. 1, 2014 to Oct. 1, 2015 – has created extraordinary damage, creating major setbacks for many ICD-10 projects and generating strong skepticism about the genuineness of the new deadline among many providers.


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