Podcast
Questions and Answers
What does ICD-10 refer to?
What does ICD-10 refer to?
- World Health Organization's code system (correct)
- Disease classification system
- ICD-10 Clinical Modification (correct)
- International Classification of Diseases, 10th Revision (correct)
What is the purpose of ICD-10-CM?
What is the purpose of ICD-10-CM?
Classification of patient morbidity and mortality for statistical purposes.
Who issued ICD-10?
Who issued ICD-10?
World Health Organization
The Centers for Medicare and Medicaid Services is responsible for developing ICD-10-CM.
The Centers for Medicare and Medicaid Services is responsible for developing ICD-10-CM.
What was the Medicare Catastrophic Coverage Act of 1988?
What was the Medicare Catastrophic Coverage Act of 1988?
Which of the following are reasons for using ICD-10-CM? (Select all that apply)
Which of the following are reasons for using ICD-10-CM? (Select all that apply)
How does ICD-10-CM affect the quality of healthcare?
How does ICD-10-CM affect the quality of healthcare?
What is evidenced-based practice in relation to ICD-10-CM?
What is evidenced-based practice in relation to ICD-10-CM?
What do ICD-10-CM codes permit in terms of documentation?
What do ICD-10-CM codes permit in terms of documentation?
What are some uses of ICD-10-CM data?
What are some uses of ICD-10-CM data?
What is one use of coding today?
What is one use of coding today?
What is the I-10 classification system designed for?
What is the I-10 classification system designed for?
Flashcards
ICD-10-CM
ICD-10-CM
A clinical modification of the International Classification of Diseases, 10th Revision, used for categorizing patient morbidity and mortality.
International Classification of Diseases (ICD-10-CM)
International Classification of Diseases (ICD-10-CM)
An international standard for classifying diseases and health conditions.
World Health Organization (WHO)
World Health Organization (WHO)
The agency that issued the 10th revision of the ICD in 1993 and maintains it.
Centers for Medicare and Medicaid Services (CMS)
Centers for Medicare and Medicaid Services (CMS)
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National Center for Health Statistics (NCHS)
National Center for Health Statistics (NCHS)
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Medicare Catastrophic Coverage Act of 1988
Medicare Catastrophic Coverage Act of 1988
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Reimbursement (ICD-10-CM)
Reimbursement (ICD-10-CM)
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Evidence-Based Practice
Evidence-Based Practice
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Documentation (ICD-10-CM)
Documentation (ICD-10-CM)
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Morbidity and Mortality Statistics
Morbidity and Mortality Statistics
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Unique Code Assignment
Unique Code Assignment
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Patient Usage Patterns
Patient Usage Patterns
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Study Notes
Overview of ICD-10-CM
- ICD-10-CM refers specifically to the Clinical Modification of the International Classification of Diseases, 10th Revision.
- It is utilized for categorizing patient morbidity and mortality for statistical analysis and health record indexing.
International Classification of Diseases (ICD-10-CM)
- Designed for classifying disease-related information to support health statistics, record keeping, and data retrieval.
World Health Organization (WHO)
- Issued the 10th revision of ICD in 1993 and oversees its maintenance.
- Each country adapts ICD-10 to its own specifications while adhering to WHO standards.
- Example: Australia uses ICD-10-AM (Australian Modification).
Centers for Medicare and Medicaid Services (CMS)
- In the U.S., CMS is tasked with developing the ICD-10-PCS for procedure classification.
National Center for Health Statistics (NCHS)
- Responsible for the ICD-10-CM, which stands for Clinical Modification.
Medicare Catastrophic Coverage Act of 1988
- Enforced diagnosis code submission for Medicare Part B outpatient services.
- Although repealed, coding requirements remain effective.
Importance of ICD-10-CM
- Reimbursement: Essential for facilitating payment processing.
- Quality of Health Care: Supports evaluation and improvement by providing quality data.
- Evidence-Based Practice: Enhances decision-making based on updated research and data.
- Documentation: Encourages detailed reporting, minimizing the need for exhaustive documentation.
Uses of ICD-10-CM Data
- Enables statistical inquiries into morbidity and mortality rates.
- Indexes health records for diseases, symptoms, and circumstances of injury.
- Optimizes data for electronic storage and retrieval.
- Assists in measuring and projecting quality healthcare services.
- Improves public health surveillance capabilities.
- Increases reimbursement accuracy for healthcare providers.
- Reduces the documentation workload for service claims.
Current Applications of Coding
- Codes facilitate payment processes in healthcare.
- They help analyze patient usage patterns of healthcare facilities.
- Used for studying healthcare costs and quality.
- Support predictions of healthcare trends and future needs.
I-10 Classification System
- Compatible with ICD-10 ensuring reliable morbidity and mortality data comparability.
- Functions on a principle where each condition is assigned a unique code to bolster data validity.
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