October 1, 2015, in the U.S.A.
Today the U.S.A.
healthcare world begins using ICD-10-CM codes.
Providers will consult ICD-10-CM codes in their efforts to diagnose
diseases and problems. Providers will collect ICD-10-CM codes and their
associated descriptions to share health information with patients,
with other healthcare professionals, with payers, and with policy
Promotes Best Practices of Patient-Centered Healthcare
ICD-10-CM will work best
when providers use best practices of patient-centered healthcare. To achieve success
going forward, providers will need to record more specific detail
about healthcare encounters. Unspecified diagnoses that were
reimbursed in ICD-9-CM may no longer be reimbursed in ICD-10-CM.
Providers will listen to patients more carefully. Providers will explain
diagnoses to patients in more detail. Providers will link up diagnoses with treatments.
Providers will ask for patient input in regard to weighing benefits and
risks of treatments.
become the center of healthcare encounters and discussions.
Health information will be carefully documented within standard
healthcare formats. Advancing patient-centered
healthcare is a major benefit of implementing ICD-10-CM in the U.S.A. as
Electronic Health Records (EHRs)
communicate health information through various formats. Providers
promoting best practices will implement certified electronic health record
(EHR) systems. EHRs will help providers to produce best quality outcomes. Within EHRs, health information
will be communicated most efficiently with
as much detail available.
Authenticate Healthcare Reports
providers to authenticate their reports.
Authentication is an important element missing from many healthcare reports today.
To achieve best outcomes, it is essential providers identify themselves
in their reports with legible name and credential(s).
Costs the U.S.A. $100 Billion Per Year!
result in positive financial outcomes for the people of the U.S.A.
The level of detail ICD-10-CM will require, and the adoption of certified EHRs, will make healthcare fraud easier to
catch and to defeat. Healthcare fraud is currently estimated to be
costing the U.S.A. at least $100 billion per year!
Misclassifications in ICD-9-CM
professionals have been preparing for ICD-10-CM for 20 years. We
understand the benefits. We also understand the misclassifications in
One of the most obvious
examples to explain misclassifications in ICD-9-CM relates to tobacco
dependence. There is no main category for tobacco or nicotine dependence
in ICD-9-CM. Tobacco dependence is obscured within a misclassified
category entitled "Nondependent Abuse of Drugs."
misclassifications in ICD-9-CM. In this example, ICD-10-CM contains
a main category, F17 Nicotine dependence. ICD-10-CM contains
separate categories for tobacco exposure and use. In addition to
assigning tobacco codes as principal or first-listed diagnoses when
applicable, ICD-10-CM requires tobacco exposure, use, or dependence
to be assigned as additional codes to many related diseases.
Request Copies of Your Healthcare
The new world of
patient-centered healthcare will work best when we request copies of
our records. To request your health records, fill out and sign the request form when you check
out from your healthcare encounter.
You may receive a printed Summary of
your visit at checkout. The Summary is usually only
a brief account of your actual encounter. Your actual healthcare report
will contain much more information, including a detailed plan for your
treatment, which is important for you to know, to understand, and to follow,
or to not follow and to seek care elsewhere if warranted.
When you fill out a
request for health records, check the box "for continuation of care." Most
provider offices will not charge for copies of your records for
continuation of care. If you choose "for personal use," some providers may
send you a bill for copies.
Please read your reports carefully
and verify the
information is accurate. Verify your healthcare reports are
authenticated by your rendering provider, including signature with legal
name and credential(s).
You have the right to
request an addendum to your healthcare report if you find information is
missing or if you feel information is unclear, confusing, inaccurate or misleading.
Let Us All
Welcome ICD-10-CM Today!
Let us all welcome
ICD-10-CM together today! The participation and diligence of each
American is required to
achieve the desired outcome of improved healthcare for all and to help decrease massive healthcare fraud
in the U.S.A.
About the Author:
is co-owner and contributing author of UP First Wild Arts and UPfirst.com.
Michaeleen is a Certified Coding Specialist, both Hospital and
Physician. Michaeleen works from home in Marquette, Michigan, as an
auditor with an
international healthcare team. Michaeleen has
worked as a coding and documentation specialist, educator, and author for more than 30 years.
About the Editor:
Todd Carter is
co-owner, contributing artist, and editor of UP First Wild Arts and UPfirst.com. Todd is a folk artist,
painter, and graphic artist. Todd's artwork is featured throughout UP First Wild Arts and UPfirst.com.
Todd has worked as an artist, educator, computer specialist, and editor
for more than 30 years.
Health care: A
'goldmine' for fraudsters, CCN Money, January 13, 2010,
Classification of Diseases,
Classification of Diseases, Tenth Revision, Clinical Modification
Statistical Classification of Diseases and Related Health Problems,
From Wikipedia, the free encyclopedia,
How Much Money Is Lost to Medicare Fraud Annually?,
Office of Inspector General, U.S. Department of Health & Human Services,