22 Jun What’s New About ICD-10?
The newly initiated ICD-1O-CMis a change from the ICD-9-CM as it has many more codes. It has expanded to include health-related conditions. It will provide much more specificity at the sixth digit level. There is a seventh digit extension for some of the codes. This may seem like additional work for the coder, but it is essentially beneficial to the medical provider in means of reimbursement. The ICD-10-CM applies to more users than the former because it is designed to collect more date on many types of healthcare visits, such as inpatient, hospice, home health care, outpatient, and long-term care. It will enhance the accuracy of the payments and facilitate an evaluation of medical billing processes and outcomes. The ICD-10-CM seeks to:
– Describe the clinical picture of the patient. Codes are more precise than before when compared with classification systems that are related to doing statistical data groupings and healthcare trend analysis, like the ICD-9-CM.
– Serve as a useful tool in classifying morbidity data for indexing patient records and reviewing quality of care. The compilation of health statistics will be aided as well with ICD-10-CM.
The good thing about ICD-10-CM and ICD-10-PCS (also abbreviated as ICD-10-CM/PCS) is that they incorporate more detailed and clinical information so that:
– There is a decreased need to attach any additional supporting documents with claims, so ICD-10 less paperwork.
– There will be easier to conduct public health investigation.
– There will be an enhanced ability to measure healthcare services with ICD-10.
– The ability to improve grouping and reimbursement methods will be improved.
The new coding system also includes updated medical terminology so that it better reflects disease processes and other conditions. The classifications of diseases are updated as well. The ICD-10-CM/PCS provides codes so that there is an easier way to compare mortality and morbidity data. The data is used for an array of things:
– Conducting research.
– Tracking public health.
– Recognizing fraud and abuse cases.
– Designing payment structures.
– Handling claims.
– Making clinical decisions.
– Measuring care given to the patients.
The ICD-10-PCS is a new procedure classification system that is for inpatient hospital settings only. This classification system uses a multiaxial seven-character alphanumeric code structure. It provides codes for substantially different procedures. Its codes contain independent characters where each axis retains its meaning across the broad ranges of codes and there no decimal needed.
As the health information management profession becomes more and more about data management, the importance of the quality and integrity of the data is focused upon immensely. Coding represents every aspect of healthcare; it represents a narrative description of many different things. Everything from diseases to laboratory tests are described in code. The more accurately the data reflects the information about a patient, the diagnosis, and the services rendered, the likelihood of higher reimbursement for services may result. With the new ICD-10-CM/PCS, it will allow providers to fine-tune their descriptions for services and other aspects of health care for their patients. The quality of the health care depends on the quality of health care information. Clinical data quality is top priority for health care providers and all who are involved.