关于ICD-10提出和回答的4个问题:这是两部分系列中的第一部分
Jonathan N Rubenstein1, M Ray Painter2, Mark Painter2
1Chesapeake Urology Associates, Baltimore, Maryland.
Urology practice
|August 4, 2023
概括
国际疾病分类第10版 (ICD-10) 取代了ICD-9的医学编码. 这种转型给医疗保健提供者带来了重大挑战和成本,需要仔细准备.
科学领域:
- 医疗保健管理部门的管理.
- 医疗编码系统 医学编码系统
- 医疗信息学 医疗信息学
背景情况:
- 美国于2015年10月1日从国际疾病分类第九次修订 (ICD-9) 过渡到第十次修订 (ICD-10).
- 这一变化对医疗文档,医疗保健提供和运营系统产生了重大影响.
研究的目的:
- 阐明ICD-9和ICD-10之间的差异.
- 解决与ICD-10过渡相关的潜在挫折和挑战.
- 提供关于采用ICD-10的影响的见解.
主要方法:
- 对ICD-9到ICD-10过渡进行了全面的文献搜索.
- 编码专业人士的专家意见被纳入其中.
- 包括与过渡有关的个人经历.
主要成果:
- 与ICD-9相比,ICD-10引入了一个大大扩展的代码集,具有更高的特异性.
- 新系统具有不同的结构,需要了解新规则.
- 潜在的好处,如改善疾病分析和降低成本,是有争议的,没有得到证实的;过渡可能是昂贵和令人丧的.
结论:
- 过渡到ICD-10给所有医疗保健提供者带来了大量的实施障碍.
- 由于实施成本很高,未经准备的做法可能造成财务破坏的风险.
- 积极的准备对于医疗保健提供者来说至关重要,以成功地导航ICD-10过渡.
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