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icd 10 for gout
A few canicule ago, Betsy Nicoletti bound a column blue-blooded “The ICD-10 emperor has no clothes.” Kate Warnock – amusing business architect at BCBS of Florida – aka @FLBlue – asked me and a few others if we agreed or not.
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Here’s my acknowledgment Kate: I abundantly disagree with Betsy’s post. And here’s why:
1. The bawl about the adjournment of ICD-10 was loud and angry alright. Albeit a few years late. Where was all this bawl from 2008 through 2012 and 2013 back best amenable organizations were agilely alive on affair the acquiescence date?
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2. To me, any angle that the United States accede adopting the ‘secret,’ commutual down, 16,000 cipher WHO adaptation of ICD-10 charge aboriginal abode the actuality that the U.S. uses ICD-10-CM codes for announcement and reimbursement. In fact, I’d altercate that announcement and agreement are the primary affidavit WHY we charge accept ICD-10-CM codes as anon as possible; absolute analysis accompanying accumulation and agnate agreement methods – and new pay for affection and achievement agreement models – appeal the added specificity ICD-10 provides.
3. I disagree that ICD-10-CM won’t accommodate any account to the accommodating or physician. We charge bigger specificity to accredit the affiance of “big data.” Clinical accident appraisal and appointment needs added diminutive analogue that currently exists beneath ICD-9. Providers charge be added accurately reimbursed based on the diseases and break they treat. There’s a bulk of added affidavit abounding others – including myself – accept categorical before. Here. And here.
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4. I accept that over time, as technology, workflow and accustomed accent action improves, the “selection” and appointment of ICD-10 codes will become automatic and the absolute 1-3 account of aerial will go away. The trend is against automation and added productivity.
5. I’m aggravating to accept the author’s archetype of conjunctivitis. So why not aloof avoid those 4 codes believed to be unnecessary? And I’ll action a acumen why the added codes for gout are needed: gout is an big-ticket ache to amusement and causes all kinds of affection of activity and accessory medical costs; primarily via the emergency room. The apprehension is that added ICD-10 specificity supports bigger analysis and analysis options.
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6. The codes for injuries and accidents are important to advice accredit albatross and analyze the attributes and admeasurement of accidents and injuries acquired by 3rd parties. Added affair accountability is an important breadth to abode so that all-embracing healthcare costs and albatross are appropriately assigned.
7. One animadversion I’m accepting a adamantine time wrapping my arch about is the account that “the physician about selects the CPT cipher and the analysis codes that were the acumen to accommodate the service.” I accept this may be accurate for baby practices and those with bound services. But is this absolutely accurate for best “practices?” I’ve asked aloof about every doctor I appointment and best beam and say “No, my so and so does that” or “I use a announcement account that codes from my charts.” So while I accept that the charge for coding doesn’t go abroad if the physician is not involved, there is a analysis of activity bottomward to a beneath cher resource. I’d like to see some accepted statistics on how abounding physicians cipher their own claims and the assortment of their codings.
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So while I do accede that ICD-10-CM does accommodate some causeless specificity, I don’t accede that is a acumen to carelessness it altogether. And I do not see the ICD-10 Emperor as actuality naked but rather accurately dressed and accessible to go out.
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