ICD-10


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AcronymDefinition
ICD-10International Classification of Diseases and Related Health Problems (10th edition)
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The latter approach is consistent with that taken by the Centers for Medicare & Medicaid Services (CMS) in converting Medicare Severity Diagnosis Related Groups (MS-DRGs); some researchers have reported initially that this conversion has "minimal impact on MS-DRG assignment because the ICD-10 MS-DRGs are a replication of the ICD-9 MS-DRGs and do not take advantage of the increased specificity of ICD-10" (Mills et al.
The ICD-10 changes for FY2018 represent a significant effort on the part of CMS to ensure both the ICD-10-CM and ICD-10-PCS code sets truly represent diagnoses and procedures documented for discharges and patient encounters.
"ICD-10 Coding Summit: Mitigating Claim Denials Under ICD-10" will look at how medical coding and billing professionals proactively reduce the potential for coding-related denials with the implementation of ICD-10 and the resulting DRG shifts.
ICD-10 is looking to do away with vague diagnostic codes such as fatigue (R53.83), arthralgia (M25.50), abdominal pain (R10.9), and anxiety (F41.9).
ICD-10 allows for greater specificity of diagnoses because the codes have five to seven characters, compared to the three to five characters used in ICD-9.
Physicians and their staffs "may not have everything they need to in the office all prepared and installed, but if they take advantage of other methods for billing under ICD-10, like free software that might be available from the government or from clearinghouses or using payer portals to enter claims" they should be able to get by, Jim Daley, director of IT for Blue Cross Blue Shield of South Carolina, said in an interview.
After reviewing coding policies and guidelines for ICD-10, attendees were able to spend time utilizing and improving their ICD-10 coding skills.
In a recent survey by the Workgroup for Electronic Data Interchange (WEDI), fewer than half of physician practices reported that they were ready, or would be ready, to implement ICD-10 by the compliance date.
Axxess said it is offering in-person training to help home health organizations transition to the new ICD-10 medical code set, effective October 1, 2015.
Recognizing that healthcare providers need help with the transition, CMS and AMA are working to make sure physicians and other providers are ready ahead of the transition to ICD-10. Reaching out to healthcare providers all across the country, CMS and AMA will in parallel be educating providers through webinars, onsite training, educational articles, and national provider calls to help physicians and other healthcare providers learn about the updated codes and prepare for the transition.
WASHINGTON -- The transition to the ICD-10 coding set should take place as planned on Oct.