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Twitter reaction to the ICD-9 to ICD-10 implementation date

This page will be updated throughout the day on Oct. 1 -- the ICD-10 implementation date -- to include tweets on how the coding update is going.

The U.S. healthcare industry must upgrade from ICD-9 to ICD-10 codes on Oct. 1, 2015. There has been ample buildup to the ICD-10 implementation date, which has twice been delayed. Some healthcare providers aren't sweating the roughly 68,000 ICD-10 codes, because they've used that extra time to test their coding systems and train their employees. Other professionals, mainly physicians and small practices, aren't as eager to move from ICD-9 to ICD-10 codes. If the jump from ICD-9 to ICD-10 doesn't go as planned, some physicians have stated they'll retire, rather than deal with the fallout.

SearchHealthIT staff will have eyes on Twitter on the ICD-10 implementation date, gathering and sharing opinions from coding experts and industry insiders on this page. We'll be checking to see if there are patterns in the early ICD-10 successes and setbacks. We'll also pass along any valuable coding tips or advice that could prove useful to those struggling with some aspect of ICD-10.

Nobody is expected to be perfect on Day 1 of ICD-10. The Centers for Medicare and Medicaid Services said it will not deny claims submitted within a year after the ICD-10 implementation date, as long as a valid ICD-10 code from the proper code family is used. Follow @SearchHealthIT on Twitter and refresh this page throughout the first day of the ICD-10 era to keep up with the latest developments, and to get a feel for how the ICD-9 to ICD-10 coding changeover is going.

The day that so many people have been dreading has finally arrived: Oct. 1. The day healthcare organizations are mandated to transition to ICD-10. People have predicted the implementation of the new code set will be disaster, people have predicted that it will be another anti-climactic Y2K-type event, and now the healthcare community will finally know the results.

People hunkered down in their "war rooms":

As well as took to Twitter the eve and morning of Oct. 1 to express a wide range of emotions. Some people hate ICD-10, some love it, some resent CMS, some resent CMS for giving four states waivers:

However, many also excitedly declared on Twitter that ICD-10 was in full effect at their healthcare organization, claims were being processed, all was working well, and things were generally pretty quiet:

Some reported that they were having issues but said the problem was easily solved without any cataclysmic consequences:

And of course, others were not so lucky. Some healthcare organizations reported experiencing more serious problems ranging from systems (including EHRs) being completely down to computer systems not accepting codes:

A CMS official stated that it will take a couple weeks before the full picture of the ICD-10 implementation becomes clear:

And for those out there who are struggling, here are some resources that may help:

Some people even took to Twitter to get answers to their questions in an effort help them problem-solve as they try to navigate the new code set:

All in all, the healthcare community took the ICD-10 implementation day in stride and with a good dose of humor:

This seems to summarize this much-awaited and much-dreaded day pretty well:

Next Steps

Physicians explain ICD-10 coding, workflow fears

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Dig Deeper on ICD-10 implementation and training

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