The clock is ticking louder for the ICD-10 go-live date in October 2014. As it does, health systems are beginning to fret about the likely financial impact on operations. Speakers at the Healthcare Financial Management Association conference in Orlando described the journey to ICD-10 as both arduous and full of uncertainties.

Sutter Health, a $9.1 billion health system with 24 acute care hospitals across northern California, began its transition program in 2013, noted HFMA panelist Danielle Reno, ICD-10 program director. Sutter’s 14 transition teams--which report up to a senior level executive sponsor--represent the breadth of the challenge, which impacts information systems, revenue cycle, contract management and multiple other areas. Sutter is about three-quarters of the way through its financial analysis of ICD-10’s likely impact--a key consideration in determining where to focus clinical documentation improvement and coding training resources, Reno said.

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