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ICD-10 Demo - Page 9 |
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Introduction ICD-10-CM will replace ICD-9-CM soon. Because the structure of ICD-10-CM is radically different from that of the ninth edition, there is and will be a large learning curve, both in the impact of ICD-10 on the entire healthcare enterprise and in the medical coder's skill sets and knowledge. Federal legislation regarding the privacy and portability of health insurance called the Health Insurance Portability and Accountability Act (HIPAA) created the need to replace the outdated, obsolete 9th edition of the ICD because it does not meet HIPAA standards in the area of electronic transactions and code sets. Electronic transactions and code sets, also called Electronic Data Interchange (EDI), enables employers, doctors, and hospitals to submit insurance claims to insurance companies for reimbursement using the internet. Because ICD-9-CM was originally designed for indexing purposes, it is insufficient in structure for EDI. Various prospective payment systems are currently in place that require more emphasis on documentation in the health record, coding and reimbursement education, and data quality. To this end, ICD-10 has been designed to address deficiencies in ICD-9-CM. In addition, ICD-10 enhances the efficiency of clinical data collection and quality of administrative data. Coded data currently have many uses, namely:
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