VitalWare's VitalView Web-based tool allows hospitals to track which of the programs they use will conform to the new ICD-10 diagnosis codes.
Health care software developer VitalWare
VitalView, a Web-based project-management tool that provides clinical
and financial data to help health care companies adhere to new
federally mandated diagnosis codes.
The Department of Health & Human Services requires that all medical claims include ICD-10 codes instead of ICD-9 starting on
Oct. 1, 2013. HHS had pushed back this deadline from Oct. 1, 2011.
VitalView's dashboard lets health care facilities perform analytics
and compile reports to keep track of ICD-10 timelines and requirements.
administrators will be able to view a product readiness indicator, a
shows which software used by hospitals may or may not be compliant with
Drawing on its knowledge base and intelligence, VitalView transmits automatic alerts to team members when a vendor or product
has missed or completed an ICD-10 milestone or is at risk of missing a claims
deadline related to the diagnosis codes.
"It's a system that facilitates communication between all those
thousands and thousands of products and vendors that hospitals depend
on and gives the hospitals a communication tool that allows them to
planning their testing, which for many hospitals will take six to nine
Kerry Martin, CEO of VitalWare, told eWEEK.
VitalWare announced VitalView on June 14.
Transitioning financial and clinical software to ICD-10 diagnostic
codes could cost large health care organizations $20 million, with
the average hospital spending $2 million and $5 million to overhaul or
its systems, said James Swanson, director of client services at IT
firm Virtusa, according to Computerworld
The transition from ICD-10 to ICD-9 is often considered more complex
than the Y2K transition for the date field in databases in 2000.
"Industry analysts characterize ICD-10 as potentially exceeding Y2K with respect to cost and impact, so advance planning is
essential," wrote Christine M. Armstrong, a principal at Deloitte
Consulting, in a report
The ICD-10 standard currently has about 69,000 codes compared with
about 14,000 in ICD-9. By Oct. 1, 2013, more than 16,000 ICD-9
codes need to convert to more than 154,000 ICD-10 codes.
ICD-10 consists of three to 7 characters compared with the three to five for ICD-9.
An example of an ICD-9 code is 462 for a sore throat and one ICD-10 code is A69.21, signifying meningitis due to Lyme disease.
For physicians, ICD-10 brings challenges of documenting codes based on a significantly revised vocabulary, Martin
From a software perspective, the change in diagnosis codes meant a
restructuring of data fields in applications like VitalView as ICD-10
brings additional alphanumeric characters and onscreen space issues to
fit the additional data.
"Because of ICD-10's complex code structures, implementing associated changes in electronic medical records, billing systems,
reporting packages and other decision-making and analytical systems will
require either major upgrades of multiple systems, or outright replacement of
older systems," Armstrong wrote.
ICD-10 is the main format for diagnosis codes used in inpatient reimbursement, according to Martin. The federal
government relies on the diagnosis codes when deciding on reimbursement funds
based on quality of care. With ICD-10 compliance, hospitals may avoid an
interruption in reimbursement, he said.
Many health care companies remain unprepared for the ICD-10
transition, according to Martin. "There's definitely a significant
of vendors that haven't done enough and aren't in a good spot right