ICD-10 Transition Report

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.

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

The United States implemented the current version (ICD-9) in 1979. ICD-10- CM is the mandated code set for diagnoses under the HIPAA Electronic Health Care Transactions and Code Sets standard starting on October 1, 2014. While most countries moved to ICD-10 several years ago, the United States is just now transitioning into ICD-10 and has to be compliant by October 1, 2015. ICD has been revised a number of times since the coding system was first developed more than a hundred years ago.

- amount of procedure codes. ICD-10-CM has 71,924 codes compare to 3,824 codes in ICD-9-CM.

I do agree with you it will have a great dramatic impact in healthcare. If the coding system is not used in a proper way it can affect many system that uses codes. When using ICD-10 yes this will help to be more specific when it comes to coding. Its not going to be very easy but its is going to help and change the way the coding system is being used so there won't be No mistakes. Yes, there is a big different between ICD-9 and ICD-10-CM but it can be also easy to learn it because it the revision to all the codes. I do believe the change is good because it just going to help us use a specific code when diagnoses.

RE: Unit 3 7/27/2015 5:05:08 PM I'm with you Jerica. ICD-9 seems like a cakewalk compared to ICD-10. I think the more work we do the better we will get. CPT coding has been the easiest by far.

As I type these words there are only 20 days until October 1st, AKA, ICD-10 transition day. Most people in the healthcare industry are wondering what that day will be like. What will happen? What will they have to do?

The difference between theses two medical coding systems that medical practices rely on being financial stability.ICD-9 contains approximately 13,000 codes and ICD-10 will contain a totally 68,000 available codes. The ICD-10 structure code is greatly expanded and the new codes are capable of reporting data in much greater specific. When the CMS mandated the changes to be effective in 2014. The data ICD-10 codes contain is expected to improve the efficiency of healthcare reimbursement and reduce charges of fraud and abuse. The ICD-10 billing will involve an all encompassing alphanumeric systemization. The ICD-10 diagnosis code will always be a letter then numbers. The ICD-10CM/PCS has two consisted parts, ICD-10-CM diagnosed classification system developed by the centers for disease control and prevention for use in all U.S. health care treatment settings. Diagnosis coding under this system uses 3-7 alpha and numeric digit and full code titles. ICD-9-cm is very much the same. ICD-10-PCS procedure classification system developed by the centers for Medicare and Medicaid services CMS for use in the U.S. for inpatient hospital setting only. The new procedure coding system uses 7 alpha or numerical digits while the ICD-9-cm coding system uses 3or4 numbers that's the

Having the lack of knowledge of the ICD-10 coding will not only affect our patients care from longer waiting time for authorizations to even denials. I also believe that it will affect the revenue that we receive into our facility from the insurance companies. Judith Veazie (October, 2014) author of the article “Creating an ICD-10 Training Strategy” states that no matter what field of healthcare you are in you will be affected by the current change to ICD-10. This new system provides better ways to submit your insurance claims for processing for reimbursement if coded properly. Veazie also says the benefit of ICD-10 is the specific amounts of codes that are now available to us which in return will be a benefit to our patients and facility.

It took a long process to convert to ICD-10, ICD-9 was a huge thing and was commonly used in the 1980's. It was until October of 2013 when they decided to convert to ICD-10 would happen and be implemented. It took over 20 years just to move to another move.

ICD-9-CM contained procedural codes in volume 3, ICD-10-CM does not contain any as they are now implemented within ICD-10-PCS..More conditions require multiple coding in ICD because it has fewer combination codes than ICD 10 cm I spent 1 hour 30 minutes reading the book and Plus I watching videos of ICD 9 cm and ICD 10 cm

A thorough knowledge of medical terminology is extremely important in order to code. If you cannot find the term you are looking for, you will need to know where the term is located in the body in order or the exact problem you are looking for to find the term.

The Centers for Medicare and Medicaid Services (CMS) requires all providers to implement ICD-10 coding system begin on October 1st, 2015 so the U.S. healthcare system can communicate in the same language as with other countries’ systems. The transition from ICD-9 to ICD-10 had big changes from 14,000 diagnostic codes to more than 68,000 and 4,000 procedure codes to 87,000. The transition affected the reimbursements of hospitals. Medicare requires all patients’ procedures and services to be coded using ICD-10 system while they are charged in CDM using CPT codes. However, there is no direct link between ICD and CPT codes (Jensen, Ward, & Starbuck, 2016). The CDM committee had to work together to prepare for this event. Switching from numerical

The learning challenges I'm having is figuring out what code comes first, when it's more than one code for the ICD-10. It's stressful trying to figure out which medical term or diagnose to look up first. I'm having a little challenge with finding the correct alphabetical category to look under for a medical diagnose. For example the medical diagnose might say cancer but be under Neoplasm category. Another challenge is not knowing what the medical disorders or diseases mean like asympotomatic. How I will overcome this by following directions, asking questions, and continue taking notes. I can google the medical disorders or diseases to find out what they mean and always ask Mrs. Pavey. When Mrs. Pavey tells us the diagnose or medical term can

You made an excellent point with regards to using ICD-9 coding. Coding can be challenging and errors are frequently made, which can skew data. I experienced this first hand when I was involved in the Congestive Heart Failure (CHF) telemonitoring program. The insurance company was extrapolating data from ICD codes to determine potential candidate to be enrolled in the program, and come to find out those individuals that had an ICD-9-CM Diagnosis Code 428 for CHF, did not really have CHF.