ICD-10 CHANGE AHEAD Change is HARD 1)ICD-9 CM implemented in 1979 2)Other countries using ICD-10...
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Transcript of ICD-10 CHANGE AHEAD Change is HARD 1)ICD-9 CM implemented in 1979 2)Other countries using ICD-10...
ICD-10CHANGE AHEAD
Change is HARD1) ICD-9 CM implemented in 1979
2) Other countries using ICD-10 since the 1990’s: UK 1995, France 1997, Germany 2000, Australia 1998
3) Canada has used ICD-10 since 2001
More Codes More Detail
• Greater specificity• Ability to measure healthcare services• Refinement of grouping and reimbursement
methodologies• Enhancement of public health surveillance• Decreased need to include supporting
documentation with claims
Other Features
• Includes updated medical terminology and classification of diseases
• Provides codes to allow comparison of mortality and morbidity data
• Provides for better data for: Measuring care furnished to patients Designing payment systems Processing claims0
Further Enhancements
• Making clinical decisions• Tracking public health Worldwide: WHOIdentifying Fraud and AbuseConducting research
Implementation
• Date extended to October 1, 2014
More time to prepare physiciansStaffVendorsSystems
Education
• Allow at least 12 -15 months for education
of coding staff• Recommend review of ICD-
10 chapters by body system• Review of rules changes in
sequencing of diagnoses
ICD-10 Chapters
• 21 chapters • From Infectious Disease
through factors Influencing Health Status and Contact with Health Services.
• Sense Organs, Eye and Ear are separate chapters
(7 & 8)Chapter 16 is Conditions originating in the Perinatal Period—Newborn only
Other Chapters
• Chapter 20External Causes of morbidityIncludes transport accidents, Slipping, tripping and fallsExposure(contact with animals causing injury)Drowning, near drowningSmoke, fire, flames
Chapter 20 continued
• Assault• Legal intervention• Operations of war and
Military operations• Terrorism
Coders should review all coding guidelines listed for ICD-10, as coding clinics will no longer be applicable.
POA Present on Admission
• POA Guidelines will be reported.
• Inpatient admissions principal and secondary dx as well as external cause of injury.
Clinical Documentation Improvement
• Concurrent coding• Queries• Involve and Educate other
staff: Nursing Case Managers Allied Health Cardiopulmonary Laboratory Pharmacy Rehab staff
Concurrent will expedite
• Concurrent moves the process more quickly
• Education of Medical Staff• New Physicians/New Grads have already used ICD-10--How do we help the senior members of our Medical Staff?
Use Existing Opportunities
• Medical Staff Meetings Develop an ICD-10 minute or section for each Medical Staff meeting (just like Safety Moments)
The accuracy and specificity will assist the physician/practitioner, as much if not more than the Facility.
What Vendors/Programs use Codes
• Check systems• Test Systems State Reporting Registries Billing and Collection Systems
Testing should be scheduled by the vendor. ASK2013 or early 2014 to work out bugs!
Prepare
• Coders should begin to use ICD-10 in actual accounts 1) Use ICD-9 and ICD-10 2) Determine what documentation may be needed in addition to what your physicians are usuallydocumenting 3) Educate as needed
Computerized Coding Systems
• CAC: Computer assisted coding
Electronic record/scanned record
Will still need coders to edit