Icd 10 : A System Of Medical Classification Of Diseases

1593 Words Oct 7th, 2015 7 Pages
ICD-10 stands for International Classification of Diseases, Revision 10. ICD-10 is a revision of the ICD-9 system which physicians and other providers currently use to code all diagnoses, symptoms, and procedures recorded in hospitals and physician practices. There are two main types of ICD-10 coding books, the International Classification of Diseases, Revision 10, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, Revision 10, Procedure Coding System (ICD-10-PCS). ICD-10-CM is a system used by physicians and healthcare professionals to code diagnoses and procedures that occur in American hospitals. ICD-10-PCS is a system of medical classification used for procedural coding. The implementation of …show more content…
Many practices have lost patients because of misdiagnoses or by giving a patient medicine for a disease that they do not have. These common mistakes are made by physicians and having a better analysis of disease patterns will help the physician narrow down the choices of diagnoses. (ICD-10 Benefits Beyond Coding) Additional benefits for patients from ICD-10 include better detection of fraud and abuse. There are many cases where an individual had used another individuals health insurance benefits for their own personal use. For example, there was a case from July 7, 2015 where a physician underreported his income and claimed millions in false and fictitious medical supply expenses. The physician was caught and sentenced 24 months in prison and was ordered to forfeit 17.6 million dollars. With the improved coding system it will be more complicated for a physician to claim fictitious medical supply expenses. The procedure will be more specific and the physician will have to report all documentation meticulously. Another physician or even a coder would notice this type of abuse with the new coding system. Physicians, Nurses, and many other medical staff become familiar with the procedures done at a facility and the medical supplies used for that particular procedure. If something looks unfamiliar to a medical staff member, the issue should always be addressed to a superior staff member such as a manger or a supervisor. In this
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