Tomorrow and Thursday, we'll be taking a few days away from our 3000 reports to celebrate the New Year. We'll return with a story on Jan. 3. But 14 years ago tonight, your world was waiting for a new year of calamity. Developers, managers, even executives had spent years planning, coding, even setting aside operations while waiting for Y2K to occur. For many HP 3000 owners, the start of our current century mandated the biggest project they'd ever accomplished: preparing an entrenched set of programs to handle formats for new dates.
For one part of the classic 3000 community, it will be happening all over again. The only break these managers of healthcare billing systems will get is a one-year reprieve. And 90 days of that is already gone.
The healthcare industry is expanding its ICD diagnostic codes in the US, a government mandate that has nothing to do with the Affordable Care Act. More than 48,000 distinct codes will be required in order to be paid by the Medicare and Medicaid systems. One story from the New York Times said that getting injured by a killer whale could be one of the thousands of new codes, a part of the fine-tuning to move from ICD-9 to ICD-10.
Virtually the entire health care system — Medicare, Medicaid, private insurers, hospitals, doctors and various middlemen — will switch to a new set of computerized codes used for determining what ailments patients have and how much they and their insurers should pay for a specific treatment.
Some doctors and health care information technology specialists fear major disruptions to health care delivery if the new coding system — also heavily computer-reliant — isn’t put in place properly. They are pushing for a delay of the scheduled start date of Oct. 1, 2014 — or at least more testing beforehand. "If you don’t code properly, you don’t get paid,” said Dr. W. Jeff Terry, a urologist in Mobile, Ala., who is one of those who thinks staffs and computer systems, particularly in small medical practices, will not be ready in time. “It’s going to put a lot of doctors out of business."
ICD-10 has already had a one-year extension for its deadline. It was supposed to be supported by Oct. 1 of this year. HP 3000 managers didn't have that kind of deadline-extending option as 1999 ran out. But they've had postponing options for their migration projects, and they've used them. Migrations off MPE are probably the only thing that could outstrip the resource levels needed to succeed at Y2K.