CMS, CDC update ICD-10 guidelines
The Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control (CDC) updated the ICD-10 guidelines:
There's not much new but worth reading because the guidelines explain hot to apply the ICD-10 codes.
Donna Smith, RHIA, and Sue Belley, RHIA, at 3M explain why there aren't so many ICD-10 codes that physicians need to worry about:
- Physicians don't need to use ICD-10-PCS codes.
- Laterality accounts for a large part of the increase.
- Physicians won't be required to report external cause codes.
- Specialists will be able to focus on the diagnosis codes pertaining to their specialties.
AHIMA had a focus group of 20 physicians and their perceptions of ICD-10 implementation:
- Although the focus was on ICD-10 coding, they complained about electronic health records (EHRs)
- Physicians are concerned about the level of clinical documentation needed. Although one physician is happy with being able to document high-risk patients.
- Physicians want HIM professionals to help with the transition.
- They recognize the gains from increased ICD-10 specificity.
Scot Nemchik, vice president of compliance and strategic planning for IOD Incorporated, shared some takeaways in training medical coders:
- There needs to be a a foundation of education followed by practice.
- There is a laundry list of ICD-10-PCS errors worth checking out.
- The errors and decrease in productivity can be mitigated by practicing ICD-10 codes.
Kyle Murphy lists the developments we need to watch as count down to ICD-10 implementation next year. It boils down to:
- The delay has pushed testing to 2015 for the most part.
- The American Health Information Management Association (AHIMA) has ramped up its efforts to counter opposition to ICD-10 implementation.
- Healthcare vendor preparedness will be key.
Vickie Monteith and Cheryl Golden of Deloitte & Touche give a presentation at the 2014 AHIMA Convention on Tuesday to share tips on training clinicians in clinical documentation improvement (CDI):
- Make it competitive. Physicians will want to outdo each other so make their progress public.
- Make CDI a pleasurable goal instead of a regulatory burden.
- It's good to educate residents before they form bad habits.
- A study found a huge decrease in medical coding productivity when coders were given ICD-10 test cases.
- The productivity loss could be because of insufficient clinical documentation and unfamiliarity with the ICD-10 code set.
- Education and collaboration can boost ICD-10 proficiency and productivity.
Deborah Graham is shocked (Shocked!) that the ICD-10 delay is inspiring procrastination. (InformationWeek)