Gartner Research

Healthcare Payer CIOs Must Prepare ICD-10 Contingency Plans

Published: 05 March 2015

ID: G00273915

Analyst(s): Constance Sjoquist

Summary

Given an extra year to prepare, payers may feel confident in their ability to support ICD-10. However, as the deadline approaches, CIOs should revisit their state of readiness and prepare contingency plans for less obvious, yet potentially disruptive, impacts of ICD-10.

Table Of Contents
  • Impacts

Analysis

Impacts and Recommendations

  • With less than 50% of providers ready for ICD-10, payer CIOs need to do extensive testing to avoid business disruption even if their own organizations are ready
  • Speculation on further delay or rule changes to ICD-10 remains, so payer CIOs need to plan "what if" scenarios to manage accordingly
  • A portion of providers will not be ready for ICD-10, creating a window of revenue flow and compliance risks that payer CIOs need to prepare their organizations to address

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