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Reimbursement and QualityProblems With ICD-9-CM• Example – combination defibrillator pacemakerdevice– Codes for this device are not in the cardiovascularchapter of ICD-9-CM with other defibrillator andpacemaker devices– Coders and researchers have trouble finding thesecodes with this type of erratic code assignment– ICD-10-PCS provides distinct codes for all thesetypes of devices, in an orderly manner that is easy tofindPat Brooks, CMS10
Benefits of Adoptingthe New Coding System• Incorporates much greater specificity and clinicalinformation, which results in– Improved ability to measure health care services– Increased sensitivity when refining grouping andreimbursement methodologies– Enhanced ability to conduct public health surveillance– Decreased need to include supporting documentationwith claimsPat Brooks, CMS11
Page 1 and 2: ICD-10 OVERVIEW
Page 3 and 4: History of ICD-9-CM• World Health
Page 5 and 6: What is ICD-9-CM Used For?• Calcu
Page 7 and 8: Why Do We Need aNew Coding System?
Page 9: Reimbursement and QualityProblems W
Page 13 and 14: • Donna Pickett, RHIAICD-10-CM•
Page 15 and 16: Countries Using ICD-10 ForReimburse
Page 17 and 18: ICD-10-CMPartial List of Reviewers
Page 19 and 20: ICD-10-CMMajor Modifications• Add
Page 21 and 22: ICD-10-CMBenefits of Enhancements
Page 23 and 24: Structural DifferencesICD-10-CM Dia
Page 25 and 26: CDC Web Page• General ICD-10 info
Page 27 and 28: Development of ICD-10-PCS• PCS -
Page 29 and 30: Structural DifferencesICD-10-PCS Pr
Page 31 and 32: Advantages of ICD-10-PCS• Provide
Page 33 and 34: Impact on MS-DRGs• MS-DRGs are be
Page 35 and 36: Role of AHA• Cooperating Party me
Page 37 and 38: AHA Central Officeon ICD-9-CM• Re
Page 39 and 40: AHA Coding Clinic forICD-9-CM Major
Page 41 and 42: AHA - Faye Brown’sICD-9-CM Coding
Page 43: AHA’s Role in ICD-10Past and Curr
Page 46 and 47: AHA Coding Clinic for ICD-10• Con
Page 48 and 49: AHA HospitalImplementation Issues
Page 50 and 51: AHA Cross-FunctionalTeam Activities
Page 52 and 53: AHA Resources• Central Office on
Page 54 and 55: AHIMA Academic Preparation• HIM c
Page 56 and 57: AHIMA Academic Preparation• The A
Page 58 and 59: AHIMA Educational Plan• Targeted
Page 60 and 61:
AHIMA Transition Resources• Imple
Page 62 and 63:
AHIMA ImplementationPlanning Recomm
Page 64 and 65:
Possible Systems andApplications Af
Page 66 and 67:
CMSWeb Resources• General ICD-10
Page 68 and 69:
Web ResourcesCDC• General ICD-10
Page 70:
ICD-9 NoticeThe International Class
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