TY - JOUR
T1 - Implementation and impact of ICD-10 (Part II)
AU - Rahmathulla, Gazanfar
AU - Deen, H. Gordon
AU - Dokken, Judith A.
AU - Pirris, Stephen M.
AU - Pichelmann, Mark A.
AU - Nottmeier, Eric W.
AU - Reimer, Ronald
AU - Wharen, Robert E.
PY - 2014
Y1 - 2014
N2 - Background: The transition from the International Classification of Disease-9 th clinical modification to the new ICD-10 was all set to occur on 1 October 2015. The American Medical Association has previously been successful in delaying the transition by over 10 years and has been able to further postpone its introduction to 2015. The new system will overcome many of the limitations present in the older version, thus paving the way to more accurate capture of clinical information. Methods: The benefits of the new ICD-10 system include improved quality of care, potential cost savings, reduction of unpaid claims, and improved tracking of healthcare data. The areas where challenges will be evident include planning and implementation, the cost to transition, a shortage of qualified coders, training and education of the healthcare workforce, and a loss of productivity when this occurs. The impacts include substantial costs to the healthcare system, but the projected long-term savings and benefits will be significant. Improved fraud detection, accurate data entry, ability to analyze cost benefits with procedures, and enhanced quality outcome measures are the most significant beneficial factors with this change. Results: The present Current Procedural Terminology and Healthcare Common Procedure Coding System code sets will be used for reporting ambulatory procedures in the same manner as they have been. ICD-10-PCS will replace ICD-9 procedure codes for inpatient hospital services. The ICD-10-CM will replace the clinical code sets. Our article will focus on the challenges to execution of an ICD change and strategies to minimize risk while transitioning to the new system. Conclusion: With the implementation deadline gradually approaching, spine surgery practices that include multidisciplinary health specialists have to anticipate and prepare for the ICD change in order to mitigate risk. Education and communication is the key to this process in spine practices. Copyright:
AB - Background: The transition from the International Classification of Disease-9 th clinical modification to the new ICD-10 was all set to occur on 1 October 2015. The American Medical Association has previously been successful in delaying the transition by over 10 years and has been able to further postpone its introduction to 2015. The new system will overcome many of the limitations present in the older version, thus paving the way to more accurate capture of clinical information. Methods: The benefits of the new ICD-10 system include improved quality of care, potential cost savings, reduction of unpaid claims, and improved tracking of healthcare data. The areas where challenges will be evident include planning and implementation, the cost to transition, a shortage of qualified coders, training and education of the healthcare workforce, and a loss of productivity when this occurs. The impacts include substantial costs to the healthcare system, but the projected long-term savings and benefits will be significant. Improved fraud detection, accurate data entry, ability to analyze cost benefits with procedures, and enhanced quality outcome measures are the most significant beneficial factors with this change. Results: The present Current Procedural Terminology and Healthcare Common Procedure Coding System code sets will be used for reporting ambulatory procedures in the same manner as they have been. ICD-10-PCS will replace ICD-9 procedure codes for inpatient hospital services. The ICD-10-CM will replace the clinical code sets. Our article will focus on the challenges to execution of an ICD change and strategies to minimize risk while transitioning to the new system. Conclusion: With the implementation deadline gradually approaching, spine surgery practices that include multidisciplinary health specialists have to anticipate and prepare for the ICD change in order to mitigate risk. Education and communication is the key to this process in spine practices. Copyright:
KW - Diagnostic coding systems
KW - International Classification of Disease version 10
KW - implementation
KW - practice management
KW - spine surgery
UR - http://www.scopus.com/inward/record.url?scp=84906834895&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84906834895&partnerID=8YFLogxK
U2 - 10.4103/2152-7806.137182
DO - 10.4103/2152-7806.137182
M3 - Article
AN - SCOPUS:84906834895
SN - 2152-7806
VL - 5
SP - S192-S198
JO - Surgical Neurology International
JF - Surgical Neurology International
IS - SUPPL. 3
ER -