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Physicians and hospital administrators realize that optimizing workflows to accommodate urgent care and emergent services will require additional data collection needs under ICD-10. The seventh character under ICD-10 defines the “type of encounter”. As I mentioned in my earlier article, sensibly and tactfully preparing for ICD-10 can be achieved successfully…
In a previous article titled ICD-10: the Axis of Classification, we had indicated that one method for preparing your key stakeholders for the transition to ICD-10 was to break ICD-10-CM down into its basic components: chapters and axes of classification. This article will continue that theme in reviewing changes we…
When any type of change is introduced, there are some half-truths or misconceptions that often surface. For example, when it comes to long- and short-term implications, there are some financial myths surrounding the new ICD-10 compliance requirement. While some perceive ICD-10 as an expensive, administrative-intensive initiative, organizations can leverage the…
Last month I opined that the only real winners in the ICD-10 implementation project would include neither providers nor patients. That is, the government will get to flex its muscles, the payers will have more options for denials, researchers will have much better data, and so on, but providers really…
When the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would delay the ICD-10 compliance date by one year, until Oct. 1, 2014, did the industry collectively let out a sigh of relief, or did it let out a sigh of distress? CMS considers a one-year…
At this point in time many would agree that ICD-10 implementation can be considered a money pit. Because of the cost increases, extensive training time and workflow process changes required of organizations, some would say that ICD-10 has become a wallet drainer. Change is good, and with ICD-10, change is…
When asked what they thought of the American Medical Association’s push for a two-year extension of the implementation of ICD-10, 77 percent of responding listeners to the weekly live Internet radio program Talk-Ten-Tuesday said the “AMA should stop and get on board with everyone else.”   While 10 percent of…
There are some significant differences between ICD-9 and ICD-10-CM for coding conditions related to pregnancy, childbirth and the puerperium. Coding for multiple gestation, for example, requires documentation related to the number of fetuses, the number of placentae and the number of amniotic sacs. This information is indicated in ICD-9-CM using…