Over the course of this class, I have gained a lot of interest with the coding system especially with the ICD-10CM/PCS. I feel like I can easily code simple diagnosis without stress, however, I still need more practice to be able to code the most complex medical and surgical diagnosis. One thing for certain, I tried not to be intimidated by the enormous guidelines instituted for a successful coding and reporting of patients’ diagnosis. However, as I work through the remaining few weeks of this class, I am positive that the coding skills I have acquired throughout this class will definitely benefit me in my future career. To begin with, ICD-10CM/PCS and SNOMED are essential tools required by the coding team to satisfy the different purposes
In the health care system, there are a lot of codes that help diagnose, treat, and discharge patients daily. Codes help nurses
Under the references comes the 3M Coding Reference Plus, and it contains AHA Coding Clinic for HCPCS, Coders’ Desk Reference for Procedures by Optum, Anesthesia Crosswalk, Faye Brown’s ICD-9-CM Coding Handbook, and ICD-10-CM and ICD-10-PCS Coding Handbook. The References include introductions, changes in the ICD coding, and guidelines for coders to find and better understand the coding process. For example, the Anesthesia section provides the section of the surgery and next to it the section where the right code can be assigned. Then, the Coding Clinic for HCPCS provide some articles and questions with their answers related to coding and the changes to some codes. These references are crucial in the coding sector, especially with the changes that occur on some codes and modifiers. Coders should be aware of the references and use them to avoid intention and non-intention mistakes, frauds or abuse.
-Inpatient coders have certifications allowing them to work exclusively for hospitals or facilities. An expertise in medical record review is a must, along with an up to date status with coding rule changes, regulations and issues for medical coding, reimbursements and compliance under MS-DRG and Inpatient Prospective Payment Systems (IPPS). Coders should have experience as well as expert knowledge in abstracting information from medical records for ICD-9CM vol. 1-3, specialized payment in MS-DRG and IPPS.
Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.
“Individuals who would like to become a certified medical coder must pass examinations offered by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) (Medical Coding Specialist, 2002-2004).”
We as Coders and Billers should understand the interaction of the CPT procedural codes and the ICD diagnostic codes. The providers receive payment for their service, whether it is an office visit or an operation in the hospital. All services need to be coded for proper payment.
A current problem with SNOMED CT is concept ID. Concept IDs give a medical term (Patient or Scalpel) an ID. This language can be confusing, and when there is confusion, quality of care and higher costs of health care can occur. When concept IDs are created, there needs to be a hierarchy so that each version can be kept track of the specific relation. Commonalities in the concept IDs can create a problem with SNOMED CT; the new concept model was created to figure out how to solve the issue or make it explicit. In addition to Concept IDs, uninformative codes are another problem with SNOMED CT.
ICD-10 – CM is a three- to seven character alphanumeric representation of a disease or condition. The first digit is alpha; Digit 2 is numeric. There is a decimal placed after the third character. There are 69,000 codes to better capture specificity, tis also
Many people get confused when they hear the terms inpatient and outpatient. An inpatient is a patient hospitalized for more than 24 hours, but the stay can be less, depending on doctor’s orders. An outpatient is a patient that does not stay overnight in a medical facility and goes home. ICD-9-CM diagnosis codes are 3 to 5 digits long (numeric) or can be a letter followed by up to 4 digits (alphanumeric). For example, the code for Hypertension is (401.9), examination of the breast is (V76.10), and struck accidentally by a falling object is (E916). ICD-10-CM diagnosis codes are three to seven digits or characters long. The first character is a letter, and the second to seventh characters are letters or numbers. For example, sprain of unspecified
RE: Unit 3 7/27/2015 5:05:08 PM I'm with you Jerica. ICD-9 seems like a cakewalk compared to ICD-10. I think the more work we do the better we will get. CPT coding has been the easiest by far.
Due to ICD-9-CMS’ ability to provide necessary detail for patients’ medical conditions or the procedures and services performed on hospital patients, ICD-10-CM/PCS was implemented.
CHIC stands for Community Humanity Involvement Club and within this organization there are numerous of girls along with several sponsors that come and teach us how to be young ladies along with giving back to the community. I’ve been a CHIC member for seven years and it has taught me a wide range of things that I was unaware of before I became a member. CHIC often gives back to the community during major holidays such as Thanksgiving and Christmas. During Thanksgiving all CHIC members go to the care station and fix plates for anyone who is unable to provide for their family or just those that are homeless. CHIC has also been to the civic auditorium to help serve with events their. We serve as waitress which teaches us to be multitask being
ICD-10, which is the tenth revision of the International Statistical Classification of Diseases and Related Health Problem, refers to a medical classification inventory for the coding of diseases, their signs, symptoms and causes (Center for Disease Control and Prevention 1). The use of this revised version in the United States is scheduled to begin officially on the first of October 2013. Currently, ICD-10 is being used for diagnosis coding, in procedure coding systems and for inpatient procedure coding.
The outmoded coding professional’s role was to describe and apportion diagnosis, procedure, and other medicinal service codes using ICD-9-CM and HCPCS/CPT coding classifications while referencing the Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS,
The primary challenge I percept in diagnostic reasoning is the ability to convert the medical data into a correct diagnosis. I think this is the main step and are prone to errors. But after starting this course, I am in a place to identify the nature of the problem and in the beginning process to find the best solution. I understand that to gain diagnostic skills, needs a basic understanding of the cognitive process and I also know the need for thorough knowledge and experience. I will also try to establish this through hard work, commitment, and an active curiosity toward learning. By actively seeking feedback on diagnostic decisions and also by listening to others point of view I should be able to refine my ability of clinical judgment. I