Importance of Proper Utilization of International Classification of Diseases 10th Revision and Clinical Documentation in Modern Payment Models

被引：4

作者：

Nichols, Joseph C. ^{[1
]}

Osmani, Feroz A. ^{[2
]}

Sayeed, Yousuf ^{[2
]}

机构：

[1] Hlth Data Consulting LLC, Seattle, WA USA

[2] NYU, Hosp Joint Dis, Dept Orthopaed Surg, Langone Med Ctr, New York, NY 10010 USA

来源：

JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 05期

关键词：

ICD-10; ICD-9; payment; Medicare; Medicaid; CMS;

D O I：

10.1016/j.arth.2016.01.057

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Health care payment models are changing rapidly, and the measurement of outcomes and costs is increasing. Methods: With the implementation of International Classification of Diseases 10th revision (ICD-10) codes, providers now have the ability to introduce a precise array of diagnoses for their patients. Results: More specific diagnostic codes do not eliminate the potential for vague application, as was seen with the utility of ICD-9. Complete, accurate, and consistent data that reflect the risk, severity, and complexity of care are becoming critically important in this new environment. Orthopedic specialty organizations must be actively involved in influencing the definition of value and risk in the patient population. Conclusion: Now is the time to use the ICD-10 diagnostic codes to improve the management of patient conditions in data. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：945 / 946

页数：2

共 6 条

[1]

[Anonymous], 2015, Pre and Primary Education 2013, P1

[2]

Centers for Medicare & Medicaid Services, 2011, EV CMS HCC RISK ADJ

[3] Preparing for International Classification of Diseases, 10th Revision, Clinical Modification Implementation Strategies for Maintaining an Efficient Workflow [J].