Related Experiment Video
Updated: May 21, 2026
04:36
Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
The DRG shift: a new twist for ICD-10 preparation
1OptumInsight. Peri.Long@Optum.com
Journal of AHIMA
|June 30, 2012
Summary
Analyze your business operations and reimbursement trends to prepare for ICD-10 implementation. Leverage familiar coding and claims processing best practices, alongside new code research, to ensure a smooth transition.
Area of Science:
- Healthcare Administration
- Medical Coding Systems
Background:
- ICD-10 implementation requires thorough business analysis.
- Understanding current reimbursement trends is crucial for assessing impact.
Purpose of the Study:
- To guide healthcare organizations in preparing for ICD-10 implementation.
- To emphasize the importance of business analysis and communication with regulatory bodies.
Main Methods:
- Analyzing business operations and reimbursement trends.
- Leveraging existing coding, DRG analysis, and claims processing best practices.
- Researching new ICD-10 codes and concepts.
Main Results:
- A delay in ICD-10 compliance and release of grouper Version 29 present an opportunity for enhanced preparation.
- Effective preparation involves educational efforts and business analysis.
Conclusions:
- Open communication with CMS, HHS, and CDC is vital.
- Reporting discrepant findings provides input for the final ICD-10 rule.
Related Concept Videos
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including: