What is ICD-10? - Asante

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ICD-10 FAQs*

Why are we moving to ICD-10; what's wrong with the ICD-9-CM diagnosis coding system?

Since the World Health Organization (WHO) is already working on ICD-11, why don't we just implement ICD-11 instead of ICD-10?

Who maintains ICD-10-CM/PCS?

Who needs education on ICD-10?

What is Asante doing as an organization to prepare for ICD-10?

What type of support can I expect from Asante leading up to, during and following the change to ICD-10?

What resources and training are available through Asante to ensure a smooth transition for me?

What tools will be available to me in EPIC?


Why are we moving to ICD-10; what's wrong with the ICD-9-CM diagnosis coding system?

ICD-9-CM was developed 30 years ago and it cannot accurately describe diagnoses at the necessary level of detail needed for the management of our healthcare system in the 21st century. In addition, a number of countries have already moved to ICD-10. Therefore, the statistics reported for diagnosis codes will be flawed since there is no compatible data to compare internationally. We will be capturing morbidity data using an outdated classification system, which can potentially cause problems identifying and tracking new health threats (e.g., SARS, anthrax).

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Since the World Health Organization (WHO) is already working on ICD-11, why don't we just implement ICD-11 instead of ICD-10? 

No firm timeframes for the completion of ICD-11 developmental work or testing have been identified, and no firm implementation date for ICD-11 has been designated. This means the earliest projected date for ICD-11 implementation would be 2020, assuming that no US clinical modification is needed. Also, since ICD-11 will build upon ICD-10, many of the costs and much of the work associated with upgrading to ICD-11 will be mitigated by ICD-10 implementation.

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Who maintains ICD-10-CM/PCS? 

ICD-10-CM (diagnosis driven) was developed and is maintained by National Center for Health Statistics(NCHS) under authorization by the World Health Organization (WHO). ICD-10-PCS (procedural coding system for inpatient hospital claims) was developed and is maintained by Centers for Medicare and Medicaid Services (CMS). AHIMA,CMS, AHA and NCHS are the four cooperating parties responsible for the ICD-10 Coding Guidelines.

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Who needs education on ICD-10? 

The following may need some amount of education on the structure, benefits and changes seen in ICD-10-CM/PCS:

  • Health information management staff responsible for health record services 
  • Physician Coders
  • Billing or financial office professionals
  • Accounting professionals
  • Corporate compliance office staff
  • Auditors and/or consultants who perform documentation or coding review
  • Clinicians
  • Clinical department managers
  • Quality management staff
  • Utilization management staff
  • Patient access and registration staff (if they are involved in medical necessity determinations)
  • Researchers
  • Ancillary department staff (e.g., physical therapists, occupational therapists, respiratory therapists)
  • Visiting nurses
  • Hospice professionals
  • Nursing facility personnel
  • Outpatient service billing personnel
  • Data quality management staff
  • Data security personnel
  • Data analysts working both inside and outside the organization
  • Other data users (e.g., performance improvement)
  • Information technology and information systems personnel

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What is Asante doing as an organization to prepare for ICD-10? 

Asante has formed an ICD-10 steering committee who has conducted training assessment needs across the institution, including Asante Three Rivers Medical Center, Asante Rogue River Medical Center and Asante Ashland Hospital and Asante Physician Partners, by job role, to include community-based physicians and is in process of coordinating a robust training program.  Check this website for updates and watch for institution wide announcements to help you stay informed of important dates and training opportunities.

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What type of support can I expect from Asante leading up to, during and following the change to ICD-10? 

The Asante ICD-10 steering committee is actively compiling tools and resources through this website and other communication sources to assist you in training and ongoing support.  

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What resources and training are available through Asante to ensure a smooth transition for me? 

Asante is committed to providing timely and specific training based on current job role and medical specialty area.  The mode of communications will primarily be through this website and/or Asante newsletters.  We are in process of identifying ongoing support tools and anticipate a robust program with various modes of communications and tools.

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What tools will be available to me in EPIC? 

The higher specificity required for appropriate ICD-10 coding will be available within EPIC through the diagnosis calculator.

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*Some content  from the American Health Information Management Association (http://www.ahima.org/

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