While at the WEDI conference in Austin, there has been some discussion about moving to the federally mandated ICD-10 code set not just for compliance, but for strategic advantage.

One of the presenters pointed out that compliance, accuracy and detail are components of the ROI, but there are also potential CMS imposed penalties looming in the future.  Pragmatists may be seeking a minimal cost, minimal compliance route, collaborators will seek a successful compliance but innovators – only about 15% of health plans – will see to win market share, improved operational costs, etc from strategic value.   As we move closer to the compliance dates, health care organizations will balance strategic advantage with risks of being out of compliance.

icd-10 adoption

chart shows how different organizations view adoption for compliance or strategic advantage

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