Icd-9 Vs Icd-10

Improved Essays
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.
The United States is one of the last to adopt the ICD-10 system; most other industrialized countries have already been using ICD-10. About ten years ago when ICD-10 first came out the trouble with implementing the system was because HIPPA was not in effect and medical facilities were not really using the electronic service record (ERS). The medical health IT only offered an expensive and complex option, and it made the thought or act of transitioning to the new way an unembraced drawn out process (Loomis, 2015). As far as the government sector pushing the ICD-10, in various opinions it is thought that because the government saw no profitable gain for this program they delayed the process even more.
…show more content…
With more specificity regarding the clinical conditions and services, ICD-10 will be able to provide payers, policy makers and providers with better information to make refinements to the US reimbursement system. Also, to include and implement a pay for performance program. These new codes also help to make efficient and lower administrative cost as well. With the reduction for manual review of health records for research and data findings, this also adjudicates reimbursement claims

Related Documents

  • Improved Essays

    ICD-10 (Icd-9)

    • 715 Words
    • 3 Pages

    The effect of ICD-10 starts with the provider's documentation. The provider sees the patient. He or she goes through the diagnosis process and arrives…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    The Uniform Bill-04 or UB-04 paper claim form which is used for billing, was established to combine all the claim forms which were once used by hospitals, this was to accommodate numerous diagnoses codes. However, the inpatient reporting differs from the outpatient reporting. Inpatient claims can consist of up to 22 diagnosis codes and 6 procedure codes, of the 22 only 1 admitting diagnosis is allowed, while the outpatient claims consist of up to 24 diagnosis codes with 3 of these codes representing the reason for the visit. In addition to inpatient diagnoses reporting, the present on admission (POA) data element is included to substantiate between conditions present at the time of admission and conditions which may cultivate during the patient’s…

    • 247 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Id9 Vs Icd10 Essay

    • 476 Words
    • 2 Pages

    What are the differences between ICD9 and ICD10? What were benefits to switching from ICD9 to ICD10? Do you feel that the coding process is similar? How does it differ?…

    • 476 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    For ICD-10, the first digit is always alpha, digits 2-3 are always numeric and digits 4-7 are either alpha or numeric. As far as the meaning of CM and PCS, CM stands for clinical modifications and PCS stands for Procedure Coding System. CM codes are used for all health care treatment settings in the…

    • 167 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Firstly, there are many, many more codes. ICD-9 contains approximately 13,000 codes, a daunting number to deal with already. ICD-10 will contain a total of approximately 68,000 available codes. ICD-9 coders and ICD-9 billers are professionally trained and certified to translate medical records into 13,000 codes. The complexity…

    • 622 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    ICD-10 Coding Framework

    • 246 Words
    • 1 Pages

    The expanded ICD-10 coding framework allows care providers to document procedures with more specificity. [1] This enhanced data helps researchers gather more information and discover delivery improvement opportunities. ICD-10 Implementation Increases Coding Demand Caregiving facilities suffered from coding personnel shortages well before the ICD-10 transition. [2] The medical community’s almost four-decade reliance on ICD-9 resulted in a minimally supported coding education environment. Upon ICD-10 implementation, many organizations had no other choice but to rely on offshore coding services.…

    • 246 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    The cost reductions are established by emphasizing preventive care to minimize the need for more expensive reactive care. Pay-for-performance (P4P) models accomplish The American Academy…

    • 1109 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Family Theory Analysis

    • 715 Words
    • 3 Pages

    The CPT or Current Procedural Terminology reference book includes a set of codes, descriptions, and guidelines determined by the American Medical Association, used to describe procedures performed by health care providers for billing purposes (Smiley, 2015). The tenth edition of the International Classification of Diseases (ICD-10) reference book provides a system of codes that classifies every disease and health finding identified by the provider, providing more than 68,000 different diagnosis codes (Smiley, 2015). The Healthcare Common Procedure Coding System (HCPCS), is a two-level coding system that identifies health care procedures, equipment, supplies, and to identify various items or services not included in the CPT medical code set (Center for Medicare & Medicaid Services, 2013). For example, if a patient come to the clinic only to receive a vaccine administered by a nurse, the vaccine administration would be the only reportable service (Smiley, 2015). For procedures such as vaccinations, an HCPCS code must be utilized for billing while an evaluation and management code would not be necessary (Smiley,…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Triple Aim In Health Care

    • 1218 Words
    • 5 Pages

    The Triple Aim is an initiative created in 2007 by the Institute of Health Improvement with the purpose of strengthening the United States healthcare system by improving the health of the population, the patient experience navigating system and reducing the cost associated with healthcare. Attempting to achieve all these three goals at the same time is no easy task, mainly because the accomplishment of one aspect often compromises the others. With the Triple Aim as the focus, health care organizations are able to recognize and solve flaws in their systems, as well as redirect attention and health resources to the accomplishment of an equally balanced healthcare (McCarthy & Klein, 2010). The Five Elements of the Triple Aim…

    • 1218 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Financial trends and reimbursement changes go hand-in-hand. Healing Hands Hospital relies on revenue from managed care reimbursements, therefore any changes within the managed care system will affect our financial budgets and income. This will affect how we pay our employees and what kind of services we are able to provide. It has major influence on how we deliver and pay for health care products and services.…

    • 1002 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
  • Decent Essays

    Different Types of Adjustment Disorder and Self Help The problem of icd 10 adjustment disorder can be a constant problem where an individual goes through anxiety and depression to face the outside world. Most often individuals passing through this situation finds it tough to adjust to new circumstances, a group of people or new surroundings. There are different reasons behind the problem of icd 10 adjustment disorder which is often caused due to a stressful life event. The problem of adjustment disorder may develop within hours or minutes of the event.…

    • 316 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    A. Analyze one federal government payer program for healthcare services making an impact on today’s healthcare ecosystem. “The United States has a unique system of health care delivery and it is unlike any other system in the world” (Ch. 1, n.d.). Most other countries around the world have a form of health care that is run by the government and paid for through taxes. In the U.S., one must enroll through an employer, agent, etc., and most pay monthly premiums to be able to have access to healthcare through their insurance.…

    • 1093 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The Importance Of Nursing Values In Nursing

    • 1436 Words
    • 6 Pages
    • 13 Works Cited

    Doherty, R., (2010). The certitudes and uncertainties of health care reform. Annals of Internal Medicine 152 (10), 679 – 682. Laurant, M. GH. , Jermens, R. PMG.…

    • 1436 Words
    • 6 Pages
    • 13 Works Cited
    Great Essays
  • Improved Essays

    Reimbursement within the healthcare system is changing consistently and many issues and concerns can arise with those changes. Memorial Sloan-Kettering Cancer Center receives reimbursement from a variety of payers on a state, federal and private pay level. An example of one of the types of reimbursements used at Memorial Sloan-Kettering (MSK) is “Fee-for- service reimbursement”. With this type of reimbursement providers receive payment for each service that is made (Hagland). There are advantages to this type of method such as independence to policy holders and some disadvantages are the risk of uncertainty and high copays and deductibles for patients.…

    • 783 Words
    • 4 Pages
    Improved Essays