ICD-10-CM Overview Flashcards
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Questions and Answers

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?

    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.

    <p>False</p> Signup and view all the answers

    What was the Medicare Catastrophic Coverage Act of 1988?

    <p>A law requiring submission of diagnosis codes to Medicare Part B.</p> Signup and view all the answers

    Which of the following are reasons for using ICD-10-CM? (Select all that apply)

    <p>Reimbursement</p> Signup and view all the answers

    How does ICD-10-CM affect the quality of healthcare?

    <p>It facilitates evaluation of medical processes and outcomes.</p> Signup and view all the answers

    What is evidenced-based practice in relation to ICD-10-CM?

    <p>Using the latest research to diagnose and treat patients.</p> Signup and view all the answers

    What do ICD-10-CM codes permit in terms of documentation?

    <p>More detailed reporting with less supporting documentation.</p> Signup and view all the answers

    What are some uses of ICD-10-CM data?

    <p>Statistical analysis, indexing health records, public health surveillance, and measuring healthcare services.</p> Signup and view all the answers

    What is one use of coding today?

    <p>Reducing documentation requirements</p> Signup and view all the answers

    What is the I-10 classification system designed for?

    <p>Compatibility with ICD-10 for comparability of morbidity and mortality statistics.</p> Signup and view all the answers

    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.

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