ICD-10-CM Compliance Report

Decent Essays
After exploring the National Center for Health Statistics website, I discovered that the NCHS has been involved in the development of the ICD-10-CM codes by being the Federal agency responsible for use of the International Statistical Classification of Diseases and Related Health Problems, 10th revision. Which became effective as of October 1, 2015, in replacement of the ICD-9-CM. although the NCHS is involved in the development of the ICD-10-CM the copyright belongs to the World Health Organization (WHO), who owns and publishes the calcification. In order for the WHO to authorize the development of an adoption of the ICD-10, all the modifications must be in accordance with their conventions. Additionally, an evaluation by a Technical Advisory Panel and extensive additional consultation with physician groups, clinical coders, and others to assure clinical accuracy and utility. As mentioned this authorization is for use in the United States for U.S, government purposes. Some of the improvements are: greater specificity in code assignment, incorporation of common 4th and 5th digit subclassification, laterality, the addition of sixth and seventh characters, the creation of combination diagnosis/symptom codes to reduce the number of codes needed to fully describe a condition, expanded injury codes and the addition of information relevant to ambulatory and managed care encounters. These …show more content…
All the feedback that was received was reviewed by the American Hospital Association and the American Health Information Management Association. After they reviewed the data collected they made some adjustments and additional modifications were made based on the established comments and suggestions. All this happened over a long period of time since over a decade to ensure that it was beneficial to the health

Related Documents

  • Decent Essays

    Icd10 Unit 1 Assignment

    • 132 Words
    • 1 Pages

    This project took me almost 2 days to finish it. I really enjoyed working on this project. Since the compliance date for implementation of ICD-10-CM/PCS was on October 1, 2015, my manager Alicia gave me a list of ICD-9-CM codes I need to convert. Which will help the coders while the r coding. I was going to use the ICD-10-CM book…

    • 132 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Marsha McMillen Unit 3 Healthcare Compliance Assignment Discuss what you would do as the administrator of this hospice and the five nurses worked for you. If I had been the administrator for this hospice, I would have trained my nurses in the importance of not committing fraud. I would have been very adamant about teaching my staff about the consequences of not being compliant in following the rules and law in reference to fraud. We would have had meetings to go over the compliance rules at least once a week.…

    • 299 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    ICD-10 (Icd-9)

    • 715 Words
    • 3 Pages

    The codes have become much more specific. The coder is going to use the provider's notes to arrive at the appropriate code. That means the provider is going to have to provide enough detail for that to happen. So, instead of just saying the patient had a headache, the provider is going to have to document the potential source(s) of the headache to the degree that the coder can document it for the payer.…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The program will also allow for the agency to keep track of patient visit listing where, when and what they reason(s) for office or ER visits. For example, if a patient presented in the doctor’s office and had lab work as well diagnostic testing and then return two days later, thus saving time and money by avoiding repeating blood work unless there is a need due to changes in diagnosis. It increases the quality of care as far as waiting time and even possibly can avoid hospital…

    • 735 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Joint Commission repeats this survey every three years. The commission's survey process is designed to trace residents and patients as a way to assess the actual care processes the organization utilizes; in addition, the key operational systems directly affecting the safety and the quality of care residents and patients receive is also analyzed.…

    • 564 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The content of healthcare claims is about to change very soon. ICD-9-CM Volumes I, II and III are going to be replaced by ICD-10-CM and ICD-10-PCS. For billers in outpatient medical practices, the change from ICD-9 to ICD-10 will mean a complex shift in how medical information is reported to payment. What is the difference between these two medical coding systems that medical practices rely on to be financially stable?…

    • 622 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The RBHA has adopted evidence based guidelines set up by the National Guidelines Clearinghouse (NGC). The NGC defines its clinical practices based on the definition provided by the Institute of Medicine (IOM), the IOM states that clinical practice guidelines are statements that contain recommendations to enhance patient care that are composed by a systematic review of evidence and an assessment of the benefits and harm of alternative care options. JFCS Quality Management and Clinical Management actively work with staff to ensure the proper delivery of treatment according to their respective programs. The goals and…

    • 1326 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Icd-9 Vs Icd-10

    • 679 Words
    • 3 Pages

    The World Health Organization (WHO) maintains the International Classification of Disease (ICD). This system design is a healthcare classification system that provides diagnostic codes for classifying disease, sign and symptoms, abnormal finds, etc. The ICD-9 system has been in use for over 30 years now is replaced by ICD-10. The change from ICD-9 to ICD-10 has received much opposition from the United States as well as the medical industry. The benefits of using the ICD-10 are the in depth details of the new codes, a more accurate payment system for new procedures, fewer miscodes, and rejected improper reimbursement claims.…

    • 679 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Icd Codes In Hospitals

    • 716 Words
    • 3 Pages

    a) hospitals (ICD codes) ICD codes are used in health care to correctly state diseases on patients’ health files. Currently, the codes ICD-10-CM and ICD-10-PCS are used in hospitals. The code ICD-10-PCS is used for inpatient procedures and consists of seven characters. The second and third components are characters that contain both letters and numerals; with each character able to hold up to 34 values. The components from the fourth through the seventh can be either alpha or numeric.…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Quality improvement programs are put into place to ensure all employees are held accountable for their actions, integrating evidence-based practice into healthcare, and to continually improve care to countless populations (Huber, 2014). In this paper I 'm going to explain my organization 's quality program goals and structure. Next, I will describe how quality improvement projects are selected; I will also discuss the quality methodology, tools and techniques, and project management. Following this I will explain how nursing staff is trained in quality improvement process and how quality improvement activities and process is communicated to the nursing staff. I will clarify how the organization evaluates quality improvement activities for effectiveness…

    • 1057 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Icd 10 History

    • 797 Words
    • 4 Pages

    The intent of the ICD coding system was to classify diseases, diagnosis, and treatments for study and tracking purposes. It was never intended for medical billing. However, as the healthcare industry changed in the 1970s and 1980s, payers started using the ICD-9 for billing. This close integration between the ICD-9 codes and medical billing has made the ICD-10 implementation difficult.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Customer complaints are taken seriously and addressed accordingly for the company advocates emphasis on customer satisfaction. Urban large health systems, which serve as safety nets for the larger populations with a lower socioeconomic status and also whose most of the population speak English as a second language, do worse on government patient satisfaction than the smaller non-urban hospitals likely to serve white customers with higher educational level. Patient satisfaction is important and it is a key part in determining reimbursement levels to hospital by the Centers for Medicare and Medicaid Services (CMS). The ACA has encouraged hospitals to change from fee-for-service model to base care on measure of value and patient satisfaction. In addition, hospitals are rewarded or penalized on the standard that assess the quality of care of the patients.…

    • 1311 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    ICD-9: A Case Study

    • 714 Words
    • 3 Pages

    I called several different facilities to gain an insight on the process that one has to go through to get a bill paid from services rendered. After deep consideration I decided to speak with a coder by the name of Naomi at Sacred Heart Hospital her first inclination to me was the importance of their job and the steps and processes that they have to go through from start to finish making sure that the hospital and doctors get paid in a timely manner and about the changes that have occurred in regards to how the codes are set up. They no longer use the ICD-9 for CPT they have went to ICD-10 because it is a much easier process that catches errors more accurately. This is done electronically and goes directly to the provider so that their portion…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Trihealth Case Study

    • 849 Words
    • 4 Pages

    Mission, Vision and Values I have worked for TriHealth for over five years as a Registered Nurse. TriHealth is a health care system consisting of two hospitals, several emergency facilities, primary care offices, and a rehabilitation unit that spans the greater Cincinnati area. In that time, I have seen our organization apply for and gain magnet recognition, transition from paper charting to electronic medical records, and change several policies on my unit based on evidence-based research and the input of our shared leadership committee (SLC). Our policies and changes in our culture over the years have been attempts to more reflect the TriHealth mission.…

    • 849 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Formal standards in healthcare have derived from the need to develop a standardized system for informal applications within hospitals (Laureate Education, 2010). For example; hospital pharmacies, medical billing and clinical staff required an application to accomplish patient care in an ever growing field of information technology. Standards in healthcare were created to make processes work more efficiently (Hammond, Cimino, 2006) and comprise a set of rules and definitions that specify exactly what something is. In healthcare, specifically a hospital environment, a formal standard is useful because it permits two or more disassociated departments such as clinicians and pharmacies along with the billing department to work together in a cooperative way.…

    • 444 Words
    • 2 Pages
    Improved Essays