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Why did the U.S. change to ICD-10-CM and PCS? How will ICD-10 affect future healthcare reimbursement?...

Why did the U.S. change to ICD-10-CM and PCS? How will ICD-10 affect future healthcare reimbursement?

2 websites to reference:

The National Center for Health Statistics website: http://www.cdc.gov/hchs

AHIMA: www.ahima.org

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Answer #1

U.S. changed to ICD-10-CM and -PCS because they offer greater detail and increased ability to accommodate procedures and new technologies. These new codes are better because they have the potential to provide better data for evaluating and improving the quality of patient care. Data captured by these new codes could help in better understanding complications, design clinically robust algorithms, and track care outcomes.

Fair reimbursement policies for the use of this technology can be ensured by these complete, accurate, and up-to-date procedure codes because they will improve data on the outcomes, efficacy, and costs of new medical technology. Expanded essential detail provided by these codes will help payers and providers more easily identify patients in need of disease management and more effectively tailor disease management programs.

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