The MCAM ICD-9 Analysis Tool links cost data from 3 primary sources to calculate total medical costs: the Military Health System (MHS) (medical treatment and fatality costs), the Army Military-Civilian Cost System (AMCOS) (personnel cost for lost time), and the US Department of Veterans Affairs (VA) (permanent disability cost).
Each of the MCAM cost components defined in Table 1 are summed to produce the total medical cost ([C.
The 3 dispositions captured per ICD-9 diagnosis code in support of the lost time portion of the MCAM are: (a) assignment to quarters (bed rest), (b) convalescent leave, and (c) limited duty assignment (reduced productivity).
9) The mapping used in the MCAM correlates ICD-9 codes to the 4-digit VASRD code in order to determine the permanent disability costs.
THE MCAM IN ACTION: AN ICD-9 ANALYSIS FOR THE SAFE PATIENT HANDING AND MOBILITY PROGRAM
As noted on the bottom of each MCAM ICD-9 Case Analysis report, both of these components will remain zero until the number of avoidable cases entered exceeds certain thresholds.
Previously disjointed cost components have been brought together in the MCAM to calculate the total medical cost avoided.