GROUP PROJECT By Amanda and Sam

COMPARE Expanded detail for many conditions (International Classification of Diseases, 2001). Modified coding rules- Some rules from ICD-9 that were not needed were taken away and new rules were given if needed (International Classification of Diseases, 2001). No clear mapping between the two (ICD-10 Changes from ICD-9, ND). There is no easy way to go from ICD-9 to ICD-10, it’s a difficult switch.

CONTRAST “there are 68,000 existing codes, as opposed to the 13,000 in ICD-9.” (ICD-10 Changes from ICD-9, ND).More codes mean that there are more specific diagnosis. And codes or disease that were not in ICD-9 are now in ICD-10. “The code set has been expanded from five positions (first one alphanumeric, others numeric) to seven positions. The codes use alphanumeric characters in all positions, not just the first position as in ICD-9.” (ICD-10 Changes from ICD-9, ND). Having longer codes helps to have a specific diagnosis. “The terminology has been modernized and has been made consistent throughout the code set.” (ICD-10 Changes from ICD-9, ND). This helps so that things the provider says can be coded word for work and not just interpreted.

WHY SHOULD THE U.S. CONVERT TO ICD-10? More specific set of codes Greater detail (Why IDC-10 Is Worth The Trouble, 2008) More effective at capturing public health disease Will open new opportunities in injury research and trauma service evaluation(Why IDC-10 Is Worth The Trouble, 2008) Offers providers and payers better data in support of their efforts to improve performance, create efficiencies, and contain costs. (Why IDC-10 Is Worth The Trouble, 2008)

IMPACT ON INSURANCE INDUSTRY Could get confused by different codes (the switch) Could be kicking back more claims because people could still be using ICD- 9 codes Conduct a people assessment to see who will need training in ICD-10 (ICD- 10 implementation: Critical steps insurers must take, 2015). – This can show who needs to be trained so they are accepting the correct codes.

WHY THE DELAY? Jan. 16, The U.S. Department of Health and Human Services (HHS) published a final rule establishing ICD-10 as the new national coding standard, with an adoption date of October 1, Aug. 24, HHS announced a delay in ICD-10 adoption from Oct. 1, 2013, until Oct. 1, 2014, to allow healthcare systems more time to prepare for the transition. March At the 2013 HIMSS (Healthcare Information and Management Systems Society) meeting, a CMS administrator said ICD-10 would not be delayed past Oct. 1, April 1, President Obama signed a Medicare reimbursement bill from Congress that included a delay in ICD-10 implementation from Oct. 1, 2014, until Oct. 1, (What is ICD-10, 2015).

WHY THE DELAY? For physicians, other health care professionals, developers, and vendors to fully develop and integrate the new coding set into their practices and facilities (ICD-10 Codes Delayed Once More,2015). “…ACP also understands that if the Department were to rescind the law governing the transition to ICD-10, it would cause great losses to those physicians, medical practices, and facilities that have already expended financial and human resources toward implementing the new, diagnosis code set. (ICD-10 Codes Delayed Once More,2015).

OPTION OF ICD-10 I feel that ICD-10 will help the medical world in that it will help make diagnosis more specific and maybe people that didn’t have a diagnosis before will have one. In addition I feel that change is good and helps more research to be done and then more unknown disease can be researched. Sam

OPINION OF ICD-10 I feel that the transition to ICD-10 will benefit everyone using it. The fact that the codes are more specific, will help top not get as many kicked back by insurance companies. Leading to a more efficient coding and billing process. Amanda

REFERENCE PAGE ICD-10 Changes from ICD-9. (n.d.). Retrieved October 17, 2015, from and-Systems/ICD-Coding/ICD-10-Changes-from-ICD-9.html and-Systems/ICD-Coding/ICD-10-Changes-from-ICD-9.html What is ICD-10? - Definition from WhatIs.com. (2015). Retrieved October 17, 2015, from International Classification of Diseases. (2001, February 1). Retrieved October 17, 2015, from ACP American College of Physicians - Internal Medicine - Doctors for Adults. (2015). Retrieved October 17, 2015, from ge_2014.htm Why ICD-10 Is Worth the Trouble. (2008, March 1). Retrieved October 24, 2015, from p?dDocName=bok1_ ICD-10 implementation: Critical steps insurers must take. (2015). Retrieved October 24, 2015, from implementation-Critical-steps-insurers-must-take.html