The Pros And Cons Of ICD-9
We all know that on October 1, 2015 ICD-9 will no longer be precise information in the coding world. It will soon be ICD-10. Which is considered a major long overdue upgrade. It will advance healthcare in many many ways.
Everyone is probably wondering why is ICD-10-CM and ICD-10-PCS are better alternatives? Well, ICD-10 contains the most remarkable changes in the history of ICD. Its alphanumeric format provides a better structure than ICD-9, allowing considerable space for future revision without disruption of the numbering system, much more than is possible with ICD-9-CM. Replacing ICD-9 with ICD-10 it will provide higher standard information for measuring healthcare service quality, safety, and efficacy. Doing so it will provide better data for quality measurement, and medical error reduction, outcomes measurement, clinical research, clinical, financial, and administrative performance measurement, health policy planning, operational and strategic planning and health-care delivery systems design, payment systems design and claims processing, reporting on use and effects of new medical technology, provider profiling, refinements to current reimbursement systems, such as severity-adjusted DRG system, pay for performance programs, public health and bioterrorism monitoring,
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Fewer rejected claims ICD-10 is more detailed and organized than ICD-9. Better claims and faster approvals reduced claims cycle will lower administrative costs for physicians. For surgeons the new and cutting edge procedures. The surgical code will be built on the type of surgery, body system, root operation, body part, approach, device and qualifiers. The ICD-10 codes accurately reflect the goal, the location, the steps of the procedure and no restrictions of procedural naming conventions and agreed upon methodology. Payers will cover more procedures, reject less, pay faster, and reimburse more
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489 Words | 2 PagesHow ICD-10 impacts the revenue cycle management by Sashi Padarthy discusses the “opportunity” for facilities to improve on “clinical documentation, revenue cycle performance, and analytic capabilities for business intelligence” (Padarthy, July 2012, p. 7). Padarthy suggests the shift from ICD-9-CM to ICD-10 will require multi-departmental assessments to determine core factors within ICD-10 will that will directly influence coding, billing and reimbursement. Padarthy proposes facilities analyze their current diagnostic and procedural codes to assess whether their current codes accurately represent services provided. In addition, he asks facilities to determine “if an opportunity to leverage ICD-10” exists, and if so, what is needed; updated eligibility requirements, increased medical necessity
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306 Words | 2 PagesImplementation will need to increase by medical staff to decrease disadvantages
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393 Words | 2 PagesThe ICD-10 switch went live on October 1st and we are now left assessing which predictions were on the money, which missed the mark, and which effects are currently impacting the system the most. Before the compliance deadline, many compared ICD-10 to Y2K and HIPAA 5010 that came before it. Many possessed an almost apocalyptic mentality and expected the worst. Presently, however, it appears as if ICD-10 has been similar to Y2K only in the sense that their courses of action have run in a similar fashion: both have passed with a few hiccups along the way, but relatively smoothly and insipidly.
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523 Words | 3 PagesHow many times have your ICD-10 leadership team asked themselves the question, are we ready for the conversion? The clock is ticking and there’s very little time left for the healthcare organizations that are behind schedule. On October 1, 2015 the healthcare industry will begin to use, process, and exchange ICD-10. Providers and practices should be preparing themselves for the transition and approaching the implementation with confidence.
Icd-9 In The Health Care Industry
424 Words | 2 PagesThe codes used in the ICD-10 will be more precise and accurate creating fewer questions when it comes to diagnoses used for individuals. By replacing the ICD-9 with ICD-10 it will allow, “payers such as Medicare, Medicaid and private health insurers will have more accurate ways of determining accurate reimbursements for sustainable medical care pricing”. ICD-10 will also allow “Big Data” “(allows policy makers to better decide where and when to allot funds for coordinated, preventative care)” to increase their search for data fraud more quickly then before. Once ICD-10 is in place their will be a less of a risk of corruption in the coding department. ICD-10 codes will be more parallel with “the CPT (Current Procedural Terminology) codes used by providers” so reimbursement rates will be more accurate.
ICD-10 Myths
589 Words | 3 PagesICD-10 helps gather and sort vast amounts of patient data. No way does it increase the quality of care provided. That will be done by advances in medical science. The ICD-10 codes will be entered once there is a diagnosis and the treatment will be the same. ICD-10 is not going to change how our healthcare system functions, it is just going to simplify data handling and facilitate better payments, which will be a win-win situation for everyone involved.
Medicare: Inpatient Prospective Payment System
634 Words | 3 PagesI n October 2012, Medicare began rewarding hospitals that provide high-quality care for their patients through the new Hospital Value-Based Purchasing (VBP) Program. Hospitals paid under the Inpatient Prospective Payment System (IPPS) are paid for inpatient acute care services based on quality of care not for the volume of services they provide. In Fiscal Year 2016 (from October 1, 2015 to September 30, 2016) the VBP program includes a total of 24 measures. The measures are represented in four different Domains; HCAHPS Composites (Patient Experience of Care), Outcome, Process of Care and Efficiency.
ICD-9 Report
299 Words | 2 PagesICD-9 CM is the abbreviation for International Classification of Diseases, 9th edition, Clinical Modification. It is the HIPPA transaction set of codes that is used by hospitals, doctors, and allied health workers to indicate diagnosis for all patient encounters (American College, 2014). These codes are composed by 3-5 numeric characters representing illnesses and conditions, and alphanumeric E codes, describing external causes of injuries, poisonings, and adverse effects; and V codes describe factors influencing health status and contact with health services. ICD-10 will be the 2015 revision of the ICD-9 codes. There is not a big significant change between the codes.
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517 Words | 3 PagesAs a former student in M201/ M202, I have to admit that I was a bit intimidated at the size of the ICD-10 CM/PCS coding books. However, as we began learning about the guidelines and rules to coding it all started to come together. Last year’s transition to ICD-10 for the United States, had required changes for all health care systems.
Icd 9 Case Study
508 Words | 3 PagesThis would result in more queries for clinicians which adds up to the time medical coders and clinicians will be unable to prepare ICD-9 claims. Ironically, this comes at a time when practices are being encouraged to make their business practices increasingly efficient and save cash to get through periods of delayed reimbursements after October 1. However, there is a solution of hiring more coders as employees or freelancers to cover the deficit. But this comes at the cost of more planning and budgeting for staffing.
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1010 Words | 5 PagesThe physician also risks not getting paid by the insurance company if they do not administer the less expensive treatment. This conflict could also be
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