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Coding program stopped - East MT

Posted: May 14, 2014

Just got an email from our manager saying they are stopping the program for the next week or so until they get the bugs worked out. We are supposed to type until they figure out their next step. Some of the students still don't have the encoder program. I think a big part of it is because of the ruling to delay ICD9. Who knows if it will start back up again.

Will keep you guys posted.

whaoh, thanks for the update - Yes, please keep us posted. nm

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nm

I have wondered how the delay of ICD-10 til next year - would affect the program. MM MT

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I'm sorry to hear that. Good thing you were being paid for your training! Question for you: Did you find you were having to study on your own time as well? Just curious how much time you were needing to dedicate to this program. I'm sure it will start up again eventually. I'm considering trying out next time around, though that may not be til next year maybe now with this delay.

No not really. I just use the 20 hours a week alotted - East MT

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It really is more than generous.

delay of ICD10 - cj

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Understand that the delay isn't until next year....it is "at least" until next year. the AMA has vowed to fight it forever, and that is one powerful lobby. There is no date now for implementation, only an assumption for next year

wow, didn't know AMA was against it... - The Uninvited

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why are they? Whose idea was it to do this update anyway? Verrrry interesting.

well it has been implemented around the world - we are pretty much the only country not

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utilizing ICD10. ICD is amazing. I don't understand why the hold up. Drives me nuts having to use ICD9!!!

The United States has become an increasingly - backward country in recent years! nm

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....

I would be very interested if you could expound on ICD10 v 9 - MTLC

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I have done a little reading on ICD10. I understand that it requires more detailed documentation and specificity. I am quite interested in your statement that ICD10 is amazing and 9 drives you crazy. Would you please explain? Thanks!

We are pretty much the only country ... - Not as simple as it looks

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There are actually a number of code sets, clinical terminologies, and classification systems used for different purposes ... ICD-9, ICD-9-CM, ICD-10, ICD-10-CM, ICD-10-PCS, SNOMED CT, HCPCS, CPT, CDT, MEDCIN CT, LOINC, NDC.

The ICD-10 that other countries use is not the one that we planned to use. It is the one owned by the WHO. The US does also use that and has since 1999. It is used for mortality data.

It was ICD-10-CM and ICD-10-PCS that were delayed. CM is the Clinical Modification developed for use in the US. It includes things not found in the original. PCS is a procedural coding system developed from scratch for the US.

Healthcare systems in other countries are not like ours. They can be less advanced and they are funded quite differently. The payment system we use drives our need for the coding system and, in large part, is the reason we document so extensively.

It is that payment system based on ICD-9-CM that is the issue. Changing to ICD-10-CM is an enormous undertaking. There aren't even enough spaces on claim forms to hold all the digits in the numbers. It is the cost and difficulty of doing this that is the AMA's objection. It is also occurring right in the middle of the EHR business, which is a big money drain that they hate. CMS wants it, and they plan to get even more picky about reimbursement with it, which is also something the doctors don't want.

On top of that, the WHO will be releasing ICD-11 soon, so some think it makes more sense to skip 10 and go to 11.

I think so too. No point in it, just go straight to 11 - n/m

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z

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