CMS, CDC update ICD-10 guidelines

Carl Natale
by Carl Natale

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.

HIMagine That! ICD-10: What’s in it for Physicians?

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.

(3M HIS Blog)

How Physicians See ICD-10, and Its Effect on Their Practice

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.

(Journal of AHIMA)

ICD-10-PCS Exposed! Using Real Data to Root Out Accuracy and Productivity Issues

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.

(Journal of AHIMA)

October 1: What should have been for ICD-10 in 2014

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.


CDI specialists must creatively train physicians for ICD-10

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.


ICD-10 coders can regain significant productivity with practice

  • 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.


ICD-10 Survey: Procrastination Rules

Deborah Graham is shocked (Shocked!) that the ICD-10 delay is inspiring procrastination. (InformationWeek)