Questions and Answers
What does ICD-10 refer to?
What is the purpose of ICD-10-CM?
Classification of patient morbidity and mortality for statistical purposes.
Who issued ICD-10?
World Health Organization
The Centers for Medicare and Medicaid Services is responsible for developing ICD-10-CM.
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What was the Medicare Catastrophic Coverage Act of 1988?
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Which of the following are reasons for using ICD-10-CM? (Select all that apply)
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How does ICD-10-CM affect the quality of healthcare?
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What is evidenced-based practice in relation to ICD-10-CM?
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What do ICD-10-CM codes permit in terms of documentation?
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What are some uses of ICD-10-CM data?
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What is one use of coding today?
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What is the I-10 classification system designed for?
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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- Although repealed, coding requirements remain effective.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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Description
Test your knowledge of the ICD-10-CM system with these flashcards. This quiz provides key definitions and concepts related to the International Classification of Diseases, specifically its 10th revision. Perfect for students and professionals in healthcare fields.
