DEC 1, 2012

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Christian describes an industry in conflict over ICD-10. "There are competing agendas," he points out. "AHIMA [the American Health Information Management Association] says 'let's get it done,' while others say 'slow down, we're not ready.' The question is: who do you listen to?" Christian says that last summer's delay on ICD-10 helped his hospital, and he predicts Good Samaritan will be prepared on schedule. "Payers are the ones that will struggle," Christian says. "They have more customized systems." Thus, some claims may be rejected, or stalled, he says, echoing a common industry concern. "If you can't bill with the appropriate coding, or the coding is wrong, it will negatively impact reimbursement. Just because we can produce the transactions doesn't mean someone else can process and adjudicate them. We will need to be able to monitor and audit that. A lot of things are hanging in the balance."

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