A total of 1,900 codes and 3,651 hospital inpatient procedure codes will be added for fiscal year 2017. By Christine Kern, contributing writer
With all the talk of Big Data, there are still big questions as to how to most effectively leverage information and data to make a positive impact on healthcare delivery, cost, and outcomes. One health system leader thinks an approach developed by a Major League baseball team might be a game changer.
Health IT is in a state of constant evolution, and it often seems that, for every problem solved, another is created. That’s why it’s vital we stop to assess where the industry stands from time to time, as well as look to the future to determine the best course to take to achieve our collective goals.
As specified by Meaningful Use Stage 2, EHR certification requires problem list entries to have SNOMED CT encoding. Since October 1, 2015, diagnoses must be coded in ICD-10-CM for billing. Personnel and systems now convert problem list entries in SNOMED CT to billing diagnoses in ICD-10-CM. Sophisticated SNOMED CT to ICD-10-CM mapping is required to allow this task to be done efficiently and accurately.
Clinicians should consider deploying a Workflow Enhancing Search solution that ensures problems, procedures, and diagnoses are properly documented and mapped to standards. This approach not only improves the quality of clinical documentation, but also increases clinician productivity and satisfaction–all critical goals when promoting the adoption of standards such as SNOMED CT and ICD-10.
Determined by the advent in healthcare technologies, the World Health Organization has brought out the updated ICD codes. These new codes encompass a wider range of diseases and their procedures, making it easier for doctors to implement them.
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After repeated delays, it now appears ICD-10 will become a reality Oct. 1. As the clock ticks, healthcare providers are focused on testing and preparing physicians and staff for the changes.
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After being delayed three times in the past five years, ICD-10 is finally upon us. The industry is no longer fixated on the ICD-10 deadline but instead is shifting its focus to the impact the transition will have on healthcare in the U.S. Many, particularly physicians practices and small hospitals, are bracing for the worst. The biggest fear is that an avalanche of claims denials in the wake of ICD-10 will cause substantial disruptions in cash flow and revenue for these providers.
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ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health problems (ICD). ICD is a medical classification list created by the World Health Organization (WHO). ICD allows more than 14,400 different codes which can be expanded to over 16,000 codes with sub-classifications. ICD-10 was completed in 1992.
The health systems of some 25 countries use ICD-10 for reimbursement and resource allocation, while some countries also made modifications to ICD and use their modified versions. The standard international version of ICD-10 is used for statistics and cause of death reporting in about 110 countries.
In the United States, ICD-10 implementation has been pushed back repeatedly, and in January of 2009 was pushed back to October 1, 2013. ICD-10's basic structure consists of 7 characters, 1-3 are the category of the disease, 4 is the etiology of the disease, 5 is the body part affected, 6 is the severity of the illness, and 7 is a placeholder used for extension of the code to increase specificity.
The difficulty with implementing ICD-10 is the need to update and replace existing software that is incompatible and the large amount of time required to train physicians, staff members, and administrators on the new codes. Practices will also have to update their paperwork and forms while changing or modifying any ICD-related policies and guidelines.