Because they have yet to pass national legislation protecting the chiropractic profession, Japanese DCs are in a similar situation that U.S. DCs faced. We were fortunate enough to be able to pass chiropractic licensure state by state. The DCs in Japan must accomplish this nationally, which has proved to be an extremely difficult task. And in spite of their efforts, Japanese DCs are currently faced with two chiropractic professions.
ICD-11 May Be the Next Coding Hurdle
The health care community's on-going "scramble" to prepare for adoption of the International Classification of Diseases, 10th Edition (ICD-10) got a welcome reprieve recently when the Department of Health and Human Services announced a proposed delay in the compliance deadline until Oct. 1, 2014. Now the American Medical Association has taken the conversation a step further, proposing at its 2012 House of Delegates meeting that ICD-11 be considered as a possible option to replace ICD-9, effectively bypassing ICD-10 implementation altogether.
According to meeting highlights, the AMA House of Delegates "voted to evaluate ICD-11 as a possible alternative to replace the ICD-9 code set. Delegates asked the AMA and other stakeholders, such as the Centers for Medicare & Medicaid Services (CMS), to examine other options instead of implementing the ICD-10 code set." As of press time, no further action has been announced, although considering that providers only have approximately 15 months until ICD-10 compliance takes effect (even with the proposed delay), one assumes any transition away from ICD-10 implementation and toward adoption of ICD-11 would need to be finalized relatively soon. Otherwise, once finalized, ICD-11 would likely be subject to similar challenges / delays as ICD-10 in terms of implementation / compliance by the health care community.
The World Health Organization, publisher of the International Classification of Diseases, is expected to have a final draft of ICD-11 available for official WHO endorsement by 2015. The beta draft of ICD-11 is currently available online for commenting at http://apps.who.int/classifications/icd11/browse/f/en. According to the WHO, site visitors can browse sections of the proposed content without registering and/or register to participate in the beta phase. Successive drafts of the ICD-11 are being facilitated utilizing what the WHO describes as a "Wiki-like tool" whereby "users will engage in field trials through the global Web-based platform. This Internet-based knowledge management and sharing process will allow broader participation of multiple stakeholders in the creation and review of the new classification."
Visit www.who.int/classifications/icd/revision/en for more about ICD-11. To learn about the ICD-10 and current compliance specifics, visit www.cms.gov and search for "ICD-10."