Application Of Icd 9 And Start Using Icd 10

There is a great benefit of implementing CDI program in health care organization. First, it helps to connect the health care provider and coder that result in easy reimbursement process in health care organization. After the implementation of ICD-10, CDI help health care provider to document in proper manner that increase accuracy and specificity. Similarly, CDI help in tracking the missing clinical document that help in increasing the quality care of health care organization. According to EHR an executive health resources site, CDI help in fast

Throughout the years we have seen the changes and improvements it has been when coding procedures and being able to add on multiple diagnosis.It has many advantages and has become an easier way to define different coding procedures for the patient.ICD-9-CM is known to be a numeric system and does not indicate timing.In addition there is no differentiation from left to right in laterality.Has a limited space for additional codes,ICD-9 lacks space for diagnosis and new technologies.Carries 13,000 codes which are numbered.On the other hand ICD-10-CM requires initial and subsequent encounters.There is a differentiation from the left to the right laterality.ICD-10-CM offers more specificity and new features such as additional laterality, and x allows

ICD-9-CM codes could before be labeled in just one code, now with more clinical detail to sort through, ICD-10-CM have many more codes to choose from that are much more detail oriented and specific.

With changes in time and life, society changes. And with those changes comes new ideas, disease and illnesses never before encountered or diagnosed. For example; in 1993 a newly understood form of HPV cancer was identified and therefore, a code had to be assigned. In such cases, The ICD-9-CM Coordination and Maintenance Committee in joint effort with the National Center for Health Statistics and the Center for Medicare and Medicaid Services, considers changes yearly. (Aalseth, 2006)

Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.

You may find some of your patients have a non-HIPAA-covered payer (worker’s compensation) as their primary payer and a commercial insurance provider like Blue Cross Blue Shield as a secondary payer. So essentially you will have to first submit using ICD-9 codes, and then submit to secondary payers using ICD-10 codes.

This article discusses how the implementation of the new ICD10 codes are costing more than originally planned. All practices are required to use 2014-certified electronic health-record technology in order to receive funding from a federal electronic health record incentive program. The new estimates for the ICD10 implantation include the cost of such things as education, IT and documentation

There are two trends that I have learned about from UMA and TV. ICD-10 replacing IDC-9. ICD-10 will provide the medical billing/coder with more descriptions for describing encounters and hospital stay for patients. Where ICD-9 had 3,824 procedure codes and 14,025 diagnosis codes, ICD-10 on the other hand, has 71,924 procedure codes and 69,823 diagnosis codes that is a big difference. The affordable care act also made an impacted on billing/coding since more people are getting procedures done. These procedures will need to be coded and documented for doctors and hospitals to get paid.

The continue use of ICD-9 codes after the effective date could result in the denial of reimbursement claims. This task can be assigned to the healthcare organization’s management team to determine a solution avoiding a break down in the system. Rahmathulla states, “In instances of an audit, appropriate documentation will make the query process substantially easier while enabling coders to clarify issues without having to query the provider multiple times for answers” (“Migration To The ICD-10 Coding System S187). It is important to accurately document to reduce the amount of claim denials. With the new specificity requirement of the ICD-10 and documentation supporting a claim, lowers the chances of healthcare fraud. The healthcare management team will oversee the process to prevent the risk of exposure.

I am choosing ICD-10 Codes. The reason I have chosen ICD-10 codes is because every medical facility uses the ICD-10 codes for the billing and coding. That is the only way they get paid is by using ICD-10 codes. They will all receive adequate payments using the updated codes and the right type of billing.

ICD-10 is a huge change from ICD-9, the main purpose was to help coders code more specific. One benefit of ICD-10 is to give the doctor an electronic trail of proof for payments from patients, insurance, government, and hospitals. ICD-9 having diagnosis codes ranging from three to five digits but ICD-10 having diagnosis codes ranging from three to seven digits will automatically give you a more detailed code. Using ICD-10 gives you a lesser risk of getting audited. Giving a specific description on claim forms will make it harder to get the wrong code. ICD-10 will improve healthcare, the codes are more detailed making the data and communication flow faster. ICD-10's will help guarantee the physician reputation; the electronic trails are reported

Suman De (2012) details the best practices for establishing ICD-9 and ICD-10 cross-maps in eight steps. First, all systems that utilize ICD-9 codes must be analyzed to identify the specific mapping requirements needed for continued support of those systems (De, 2012). Second, a core mapping team should be formed and consist of knowledgeable stakeholders from throughout the organization (De, 2012). Incorporating input across various departments will help verify that all business needs are met sufficiently. Third, and perhaps most critical, is to determine all ICD-9 codes that will require mapping to the ICD-10 set (De, 2012). This list should include the most commonly used codes in the organization, as well as those codes used in specific business functions. Each organization does not need to map the entirety of the ICD-9 code set; instead, only those codes that are relevant or important to the organization should be

Due to ICD-9-CMS’ ability to provide necessary detail for patients’ medical conditions or the procedures and services performed on hospital patients, ICD-10-CM/PCS was implemented.

I think transitioning over to ICD-10-CM will make coding easier by being more specific with the descriptions. I think that the biggest challenge is going to be just learning the different sections of the ICD-10-CM. Some other challenges may include training in ICD-10-CM, the cost of the transition, and maintaining two coding systems because some private insurance like workman compensation insurance are not required to switch over to ICD-10-CM. I believe that we have had ICD-9 since 1979 with updates yearly, which makes the ICD-9 over twenty years and almost thirty years old. A lot has changed in the medical world since then and we are due for a change. Anything new will take some time to learn and I believe that the transition would be

ICD-10, which is the tenth revision of the International Statistical Classification of Diseases and Related Health Problem, refers to a medical classification inventory for the coding of diseases, their signs, symptoms and causes (Center for Disease Control and Prevention 1). The use of this revised version in the United States is scheduled to begin officially on the first of October 2013. Currently, ICD-10 is being used for diagnosis coding, in procedure coding systems and for inpatient procedure coding.