...Introduction to ICD-10-CM/PCS The World Health Organization (WHO) is the entity that owns and publishes the International Classification of Diseases (ICD) system (The World Health Organization (WHO), 2013). The United States made modifications to this classification system and in 1979 implemented the use of ICD-9-CM. Since that time healthcare worldwide has evolved and the need to collect more detailed information regarding the diseases and conditions that effect world’s population has become a high priority. Due to this evolution, the ICD-9-CM system has become outdated and can no longer accommodate our needs. Effective October 1, 2014 the United States will implement ICD-10-CM/PCS for use across the nation. Initially we will cover ICD-10-CM and then address ICD-10-PCS. ICD-10-CM is the classification system to be utilized to record diagnoses identified and treated in both the acute care setting as well as the ambulatory setting. There are various differences between ICD-9-CM and ICD-10-CM and we will highlight several of those differences today. One difference between the two coding classification systems is the number of chapters. ICD-10-CM consists of twenty-one chapters as compared to the seventeen chapters in ICD-9-CM. There are approximately 68,000 diagnostic codes in ICD-10-CM as opposed to the 14,000 in ICD-9-CM (DeVault, Barta, & Endicott, 2012). The length and structure of the codes in ICD-10-CM vary greatly from ICD-9-CM. We have...
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...World Health Organization established the International Classification of Diseases (ICD) to standardize medical records. ICD-10 is an update that reflects changing needs in medicine. The code offers increased detail and flexibility. However, implementing the code presents medical establishments with several challenges. The biggest challenge is finding common ground between the two frameworks. How ICD-10 Impacts Healthcare A presentation published by the Centers for Medicare and Medicaid Services explains that the World Health Organization created ICD-9 in 1979 to reflect current medical advances and establish universal coding procedures. [1] The system outlines the diagnoses, procedures and terminology used by caregivers. Medical organizations...
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...condition exemptions between employer group health plans. This feature was designed to broaden the parity of insurance coverage for Americans by preventing the common practice of denying coverage because of "pre-existing conditions." This feature of HIPAA received the most press coverage at the time of passage because of broad public sentiment against the "preexisting" excuse. The second major feature...
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...assignment of data codes. I results I wish to accomplish are the following: The Changes between ICD-9 and ICD-10 code sets. Differences between ICD-10-CM and ICD-10-PCS code sets. How ICD-10 coding could affect patient encounters. How the transition will affect departments. Regulatory requirements. Quality Improvement. Clinical Documentation Improvement. The challenges and barriers of ICD-10-CM/PCS coding transitions. Create a checklist for the staff. The font or typeface I will use or script-like fonts around 14, in bold those typically work better as heading fonts rather than body text and 12 for the body. I use of visuals communication would help me effectively deliver my message on the important issues with documentation and with the pictures and graphs, showing gains and loss of loss revenue would help them understand what is required for compliance and increase revenue. I will also show the standard required to be in compliances with The Joint Commission rule and regulations. The reason for my choice for training materials because is easiest way too explained and train the staff with all the new changes. These training sessions will be workshops and departmental in-services with custom design to fit each service needs. My training or transition would start with and introduction to explained in detail the new system of ICD-10 The ICD-10 Transition The ICD-9...
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...drivers: an empirical study Philip Vergauwen Faculty of Applied Economic Sciences, Universiteit Hasselt, Hasselt, Belgium ICDs and intangible value drivers 1163 Received February 2007 Revised May 2007 Accepted May 2007 Laury Bollen Faculty of Economics and Business Administration, Department of Accounting and Information Management, Universiteit Maastricht, Maastricht, The Netherlands, and Els Oirbans PriceWaterhouseCoopers, Eindhoven, The Netherlands Abstract Purpose – This paper aims to study the relationship between intellectual capital disclosures (ICDs) and the relative importance of intangible assets as company value drivers. Design/methodology/approach – Annual reports of Swedish, British and Danish firms are analysed to measure the extent of ICD. The level of intellectual capital (IC) in firms, measured with proxies for the categories of human, structural and relational capital. Findings – As to the components of IC, the empirical results indicate that there is a strong significant positive relationship between (the level of) structural capital possession of a firm and the firm’s ICD. Practical implications – This suggests that firms with a relatively high level of structural capital, disclose more information on IC in the annual report. The study found no such significant association between human and relational capital in firms and ICD regarding these items. Firms might have a transparency drawback in addressing these issues in the reports when these IC categories...
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...Now that is where the NDC comes in basically tells the origination of the drug, compounded, prepared or manufactured. Also the class of the drug this list is called the Preferred drug list (PDL) think of the NDC as a social security number . Lastly the CPT I chose due to the fact I am pursuing my A.S degree CPT codes tells the story of each dr. Visit, hospital visit or out patient visit. When coding with CPT codes from the time you walk in to any test procedures done everything is coded for payment in order to submit to the patients insurance for payment. What are the structural differences between ICD-9-CM and ICD-10-CM/PCS, including the meaning of CM vs. CM/PCS? ICD-9-CM coding for the body system pair diagnosis and procedure coding. Evaluation and Management (E/M) coding is presented in a unique...
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...Cardiovascular Morbidity and Mortality in Surgically Treated Hyperthyroidism A Nation-wide Cohort Study With a Long-term Follow-up Essi Ryödi, Jorma Salmi, Pia Jaatinen, Heini Huhtala, Rauni Saaristo, Matti Välimäki, Anssi Auvinen, Saara Metso Clin Endocrinol. 2014;80(5):743-750. Abstract and Introduction Abstract Objective Previous studies suggest that patients with hyperthyroidism remain at an increased risk of cardiovascular morbidity even after restoring euthyroidism. The mechanisms of the increased risk and its dependency on the different treatment modalities of hyperthyroidism remain unclear. The aim of this long-term follow-up study was to compare the rate of hospitalizations for cardiovascular causes and the mortality in hyperthyroid patients treated surgically with an ageand gender-matched reference population. Patients and Measurements A population-based cohort study was conducted among 4334 hyperthyroid patients (median age 46 years) treated with thyroidectomy in 1986–2007 in Finland and among 12 991 reference subjects. Firstly, the hospitalizations due to cardiovascular diseases (CVD) were analysed until thyroidectomy. Secondly, the hazard ratios for any new hospitalization due to CVDs after the thyroidectomy were calculated in Cox regression analysis adjusted with the prevalent CVDs at the time of thyroidectomy. Results The risk of hospitalization due to all CVDs started to increase already 5 years before the thyroidectomy, and by the time of the operation...
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...personality disorder Classification and external resources ICD-10 F60.2 ICD-9 301.7 MedlinePlus 000921 Patient UK Antisocial personality disorder MeSH D000987 Personality disorders Cluster A (odd) Paranoid Schizoid Schizotypal Cluster B (dramatic) Antisocial Borderline Histrionic Narcissistic Cluster C (anxious) Avoidant Dependent Obsessive–compulsive Not specified Depressive Passive-aggressive Sadistic Self-defeating Psychopathy v t e Antisocial (or dissocial) personality disorder is characterized by a lack of empathy or remorse and a pervasive pattern of disregard for, or violation of, the rights of others. There may be an impoverished moral sense or conscience and a history of crime, legal problems, and impulsive and aggressive behavior. Antisocial personality disorder (ASPD) is the name of the disorder as defined in the Diagnostic and Statistical Manual (DSM). Dissocial personality disorder is the name of a similar or equivalent concept defined in the International Statistical Classification of Diseases and Related Health Problems (ICD), where it states that the diagnosis includes antisocial personality disorder. Both manuals have similar but not identical criteria.[1] Both have also stated that their diagnoses have been referred to, or include what is referred to, as psychopathy or sociopathy, though distinctions are sometimes made.[2][3][4][5][6] Contents [hide] 1 Diagnosis 1.1 DSM-IV-TR 1.2 ICD-10 2 Further considerations 2.1 Psychopathy 2.2 Theodore...
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...History and Future Of Medical Coding and Billing John F. McMahon BU480, Central Methodist University Abstract Medical coding and billing affects everyone during their lifetime and yet the regulations of medical coding and billing are extremely complex. Examining the history, evaluation, and effect of new regulations and their cost shed light on an already complex industry. We will review government regulations, technological advancements, and requirements that providers will face in the near future. We will examine our current systems and how they evolved through time and what they may be in the future. We have reviewed articles from the Medical Billing and Coding Association, the Department of Human and Health Services as well as the Office of the Inspector General. We will review the different types of insurance, how they each affect the process of medical coding and billing and then see what the future will be. Finally we will review what steps we have taken that has allowed a government to be so involved in our healthcare decisions. Thesis Statement Medical Coding and Billing has evolved to a point that it affects everyone at one time or another during their lifetime and has only led to complex rules and regulations that you almost need a degree to understand. From times that Physicians bartered for their services to the government telling them what to charge and insurance companies...
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...study examines the incidence and costs of bleeding-related complications and/or blood product transfusions occurring as a consequence of surgery in various inpatient surgical cohorts. Methods: A retrospective analysis was conducted using Premier’s Perspective™ hospital database. Patients who had an inpatient procedure within a specialty of interest (cardiac, vascular, non-cardiac thoracic, solid organ, general, reproductive organ, knee/hip replacement, or spinal surgery) during 2006-2007 were identified. For each specialty, the rate of bleeding-related complications (including bleeding event, intervention to control for bleeding, and blood product transfusions) was examined, and hospital costs and length of stay (LOS) were compared between surgeries with and without bleeding-related complications. Incremental costs and ratios of average total hospital costs for patients with bleeding-related complications vs. those without complications were estimated using ordinary least squares (OLS) regression, adjusting for demographics, hospital characteristics, and other baseline characteristics. Models using generalized estimating equations (GEE) were also used to measure the impact of bleeding-related complications on costs while accounting for the effects related to the clustering of patients receiving care from the same hospitals. Results: A total of...
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...online 30 July 2008 in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/icd.578 Relationships among Parenting Practices, Parental Stress, Child Behaviour, and Children’s SocialCognitive Development Nicole R. Guajardoa,Ã, Gregory Snyderb and Rachel Petersenc Department of Psychology, Christopher Newport University, Newport News, V A, USA b Children’s Hospital, Omaha, NE, USA c Psychological Assessment Specialists, Pocatello, ID, USA a The present study included observational and self-report measures to examine associations among parental stress, parental behaviour, child behaviour, and children’s theory of mind and emotion understanding. Eighty-three parents and their 3- to 5-year-old children participated. Parents completed measures of parental stress, parenting (laxness, overreactivity), and child behaviour (internalizing, externalizing); children completed language, theory of mind, and emotion understanding measures. Parent–child interactions also were observed (N 5 47). Laxness and parenting stress predicted children’s theory of mind performance and parental usage of imitative gestures and vocalizations accounted for unique variance in emotion understanding. Associations also were found between child behaviour and emotion understanding. Results provide support for direct and indirect associations between parent–child interactions and early social-cognitive development. Copyright r 2008 John...
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...(State of the art Basic concepts of depression Eugene S. Paykel, MD, FRCP, FRCPsych, FMedSci Historical background This paper reviews concepts of depression, including history and classification. The original broad concept of melancholia included all forms of quiet insanity. The term depression began to appear in the nineteenth century, as did the modern concept of affective disorders, with the core disturbance now viewed as one of mood. The 1980s saw the introduction of defined criteria into official diagnostic schemes. The modern separation into unipolar and bipolar disorder was introduced following empirical research by Angst and Perris in the 1960s. The partially overlapping distinctions between psychotic and neurotic depression, and between endogenous and reactive depression, started to generate debate in the 1920s, with considerable multivariate research in the 1960s. The symptom element in endogenous depression currently survives in melancholia or somatic syndrome. Life stress is common in various depressive pictures. Dysthymia, a valuable diagnosis, represents a form of what was regarded earlier as neurotic depression. Other subtypes are also discussed. © 2008, LLS SAS rior to the late 19th century, although detailed systems of classification abounded, the main problem for psychiatric nosology was the establishment of the broad major disorders. Melancholia was recognized as early as the time of Hippocrates, and continued through Galenic medicine and medieval...
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...Diagnostic and Statistical Manual of Mental Disorders Nature and purposes The Diagnostic and Statistical Manual of Mental Disorders is a reference work consulted by psychiatrists, psychologists, physicians in clinical practice, social workers , medical and nursing students, pastoral counselors, and other professionals in health care and social service fields. The book's title is often shortened to DSM , or an abbreviation that also indicates edition, such as DSM-IV-TR, which indicates fourth edition, text revision of the manual, published in 2000. The DSM-IV-TR provides a classification of mental disorders, criteria sets to guide the process of differentialdiagnosis , and numerical codes for each disorder to facilitate medical record keeping. The stated purpose of the DSM is threefold: to provide "a helpful guide to clinical practice"; "to facilitate research and improve communication among clinicians and researchers"; and to serve as "an educational tool for teaching psychopathology." The multi-axial system The third edition of DSM , or DSM-III , which was published in 1980, introduced a system of five axes or dimensions for assessing all aspects of a patient's mental and emotional health. The multi-axial system is designed to provide a more comprehensive picture of complex or concurrent mental disorders. According to the DSM-IVTR, the system is also intended to "promote the application of the biopsychosocial model in clinical, educational and...
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...underlying medical conditions such as chronic heart or lung disease. Uncertainty about the benefits of influenza vaccination for healthy senior citizens may contribute to lower rates of utilization in this group. Objective: To clarify the benefits of influenza vaccina- tion among low-risk senior citizens while concurrently assessing the benefits for intermediate- and high-risk senior citizens. Methods: All elderly members of a large health maintenance organization were included in each of 6 consecutive study cohorts. Subjects were grouped according to risk status: high risk (having heart or lung disease), intermediate risk (having diabetes, renal disease, stroke and/or dementia, or rheumatologic disease), and low risk. Outcomes were compared between vaccinated and unvaccinated subjects after controlling for baseline demographic and health characteristics. Results: There were more than 20 000 subjects in each pitalizations (P .001), a 32% decrease in hospitalizations for all respiratory conditions (P .001), and a 27% decrease in hospitalizations for congestive heart failure (P .001). Immunization was also associated with a 50% reduction in all-cause mortality (P .001). Within the risk subgroups, vaccine effectiveness was 29%, 32%, and 49% for high-, intermediate-, and low-risk senior citizens for reducing hospitalizations for pneumonia and influenza (for high and low risk, P .002; for intermediate risk, P = .11). Effectiveness was 19%, 39%, and 33% (for each, P .008), respectively...
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...redirects here. For the sleep disorder, see Advanced sleep phase disorder. For the former trade union, see Amalgamated Society of Painters and Decorators. Antisocial personality disorder | Classification and external resources | ICD-10 | F60.2 | ICD-9 | 301.7 | MedlinePlus | 000921 | MeSH | D000987 | Personality disorders | Cluster A (odd) | * Paranoid * Schizoid * Schizotypal | Cluster B (dramatic) | * Antisocial * Borderline * Histrionic * Narcissistic | Cluster C (anxious) | * Avoidant * Dependent * Obsessive–compulsive | Not specified | * Depressive * Passive-aggressive * Sadistic * Self-defeating | * v * t * e | Antisocial (Dissocial) Personality Disorder is a personality disorder characterized by a pervasive pattern of disregard for, or violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood. There may be an impoverished moral sense or conscience and a history of crime, legal problems, impulsive and aggressive behavior. The American Psychiatric Association's Diagnostic and Statistical Manual (DSM) and the World Health Organization's International Statistical Classification of Diseases and Related Health Problems' (ICD) (F60.2 Dissocial personality disorder.[1]) have similar but not identical criteria. Both have stated that their diagnosis has also been known as psychopathy or sociopathy, though the criteria are different to some other commonly used...
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