Home Page
What Is The Importance Of Icd-10 Implementation

What Is The Importance Of Icd-10 Implementation

Decent Essays

Show More

The Information I found on the website gave me a lot of information that could help me and you guys. The US Department of health services has mandated the replacement of ICD-9-CM codes sets used by medical coders and billers to report health care diagnosis and procedures with ICD-10 codes, effective October 1,2015. ICD-10 implementation will radically change the way coding is currently done and will require a significant effort to implement. ICD-10 the tenth revision of the International Classification of Diseases is here. The US healthcare system has been preparing for this moment for several turbulent years. Beginning October 1,2015 the centers for Medicare and Medicaid services instructed the nations providers to commence submitting claims

Related Documents

Decent Essays
Icd10 Unit 1 Assignment
- 132 Words
- 1 Pages
Icd10 Unit 1 Assignment

but I thought this way it will waste my time. So I used a website which is http://www.icd10data.com/ . This website helped working faster and more accurate. What I did is inserting the ICD-9-CM code and in one click I got the ICD-10-CM code. Then I read the description just to make sure that I am converting the right code.…
- 132 Words
- 1 Pages
Decent Essays

Read More
Decent Essays
UB-04 Paper Claim Analysis
- 247 Words
- 1 Pages
UB-04 Paper Claim Analysis

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

Read More
Improved Essays
Selectcare Varying Claim Analysis
- 441 Words
- 2 Pages
Selectcare Varying Claim Analysis

At the time of registration, the member/patient presented the hospital with a Medicare Part A & B insurance card. The hospital verified this insurance through the Passport system and then submitted its initial a claim to Medicare on June 11, 2014. The claim was rejected, and then the hospital learned that the patient was insured through SelectCare. Accordingly, the hospital promptly submitted a claim to SelectCare, but it rejected the claim due to a purported lack of authorization. SelectCare maintained its denial through two-levels of appeal by the hospital based on SelectCare’s position that the hospital should have checked the Medicare Common Working File to verify the patient’s insurance…
- 441 Words
- 2 Pages
Improved Essays

Read More
Improved Essays
Cms 1500
- 444 Words
- 2 Pages
Cms 1500

The CMS 1500 and the UB04 are two types of claims forms used to submit charges for reimbursement. The UB04 (also called CMS 1450) is mainly used for facility claims, such as hospitals, surgery centers, and nursing homes. They cover both inpatient and outpatient charges, along with any associated with diagnostics, supplies, and lab work. This forms shows the “resources used” by the facility. When this form is submitted electronically, it is called the 837-I, with the “I” standing for Institutional.…
- 444 Words
- 2 Pages
Improved Essays

Read More
Improved Essays
Id9 Vs Icd10 Essay
- 476 Words
- 2 Pages
Id9 Vs Icd10 Essay

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

Read More
Decent Essays
Case Study Of First Coding Application Exercise
- 233 Words
- 1 Pages
Case Study Of First Coding Application Exercise

First coding application exercise is based on a case study scenario where a 17 years old female patient went family planning clinic for her three-month family planning pills evaluation. During that time, she complains about regular headache on past two month and her blood pressure went up. While doing this exercise, I remember our last week practice case study scenario especially from this website http://www.roadto10.org/ics. Some of the question like primary reason for visit, cause of her problems and side effects of the pills on this case study are easy answer are straight from the scenario. While doing last portion of the question assigning appropriate code for the medical terms I used the I-magic SNOMED CT to ICD-10-CM map tool and I was…
- 233 Words
- 1 Pages
Decent Essays

Read More
Improved Essays
Joint Commission Standards: The Medicare Conditions Of Profission
- 265 Words
- 2 Pages
Joint Commission Standards: The Medicare Conditions Of Profission

The Joint Commission standards require that the patient record contain patient- specific information proper to the consideration, treatment, and services provided. Due to the patient records contain clinical/ case information, demographic information, and other information the Medicare Conditions of Participation (CoP) required each hospital to establish a medical record service that has administrative obligation regarding medical records, and the hospital must keep up a medical record must be precisely composed, promptly completed, legitimately files, properly retain, and available. Within the hospital you have to utilize the system of author identification and record maintenance that ensures the integrity of the authentication and ensures…
- 265 Words
- 2 Pages
Improved Essays

Read More
Improved Essays
Plan J Case
- 642 Words
- 3 Pages
Plan J Case

In June of 2010, the Medicare Modernization Act was passed, and Plan J was…
- 642 Words
- 3 Pages
Improved Essays

Read More
Improved Essays
Joint Commission Research Paper
- 557 Words
- 3 Pages
Joint Commission Research Paper

Documentation requirements for JCAH The Joint Commission established in 1975 accredits more than 80% hospitals in the United States through a deemed status agreement with the Center for Medicare and Medicaid services (CMS) the commission specifically addresses the requirements for maintenance, testing and inspection of fire safety equipment and building features. It requires concise documentation for the Name of the activity, date of the event, required the frequency of the activity, name and contact information, including affiliation of Person who acted, NFPA standards referenced for the operation and the results of the business. Documentation requirements for CMS…
- 557 Words
- 3 Pages
Improved Essays

Read More
Improved Essays
Compare And Contrast Id 9 Cm Vs Icd-9
- 622 Words
- 3 Pages
Compare And Contrast Id 9 Cm Vs Icd-9

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

Read More
Improved Essays
Healthcare Reform Scenarios
- 1229 Words
- 5 Pages
Healthcare Reform Scenarios

Patients seem to be receiving services, but mostly in an emergency this is , because many of them know that they cannot be legally turned away for not having insurance and prior to the healthcare reform that was implemented they could be seen in this type of facility and they hospital would bill them later for the procedures that were performed. The governmental sector quickly put a stop to this when the healthcare reform was enacted giving healthcare facilities the right to turn a person away once they have been deemed stable if they do not possess proper insurance documentation. This seems to be more prominent in the low income and ethically racial minorities. These individuals do not make enough money to get insurance and the new law restricts individuals that do not possess insurance when they go to file their…
- 1229 Words
- 5 Pages
Improved Essays

Read More
Improved Essays
Managed Care Failure
- 694 Words
- 3 Pages
Managed Care Failure

Carmen et al. (2015) reports a 6.9 million enrolled in Medicaid during the period September 2013 and February 2015. With the trend of Medicaid plans using MCO's, the Medicaid Expansion component of the ACA will inevitably grow and take a much larger role in healthcare delivery. The ACA has undeniably expanded coverage but there are questions on whether or not it has provided better access and…
- 694 Words
- 3 Pages
Improved Essays

Read More
Decent Essays
Patient Ratio Analysis Essay
- 87 Words
- 1 Pages
Patient Ratio Analysis Essay

• Make sure all claims are entered and submitted with 48 hours of receipt • Correctly apply payments to patient accounts • Go over and contact insurance and patient payments. • Insure accuracy of insurance claims. Verify correct ICD-9 and CPT codes for a variety of specialties • Sign up new patient accounts • Process monthly statement of patients. • Answering and resolving patient billing inquires • Updating, maintaining, and follow up on Insurance. • Re-submitting of insurance claims as necessary • Knowledgeable in timely filing restrictions…
- 87 Words
- 1 Pages
Decent Essays

Read More
Great Essays
Argumentative Essay On Affordable Health Care
- 1634 Words
- 7 Pages
Argumentative Essay On Affordable Health Care

Statistically, only twenty-eight percent of Americans are insured through government-funded programs such as Medicare and Medicaid, implemented in the middle 1960s. Medicare commonly insures older people with acute care needs. “Medicaid is the joint federal-state government-sponsored program that pays for health services for poor children, pregnant women, and mothers of young children as well as mentally and physically disabled and very poor elderly individuals” (Emanuel 36). The most recent attempt to maintain a current medical assistance problem was a new law widely known as Obamacare. President Obama signed the Affordable Care Act into law on the 23rd of March 2010, putting in place comprehensive reforms that are meant to improve access to affordable health coverage for everyone and protect consumers from unfair insurance company practices.…
- 1634 Words
- 7 Pages
Great Essays

Read More
Improved Essays
The Importance Of Formal Standards In Healthcare
- 444 Words
- 2 Pages
The Importance Of Formal Standards In Healthcare

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

Read More

Related Topics