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December, 2014

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There Are Important Reasons For Delaying Implementation Of The New ICD-10 Coding System

Chute CG et al, Health Affairs, 2012

Federal authorities have recently signaled that they would consider delaying some aspects of implementation of the newest version of the International Classification of Diseases, known as ICD-10-CM, a coding system used to define health care charges and diagnoses. Some industry groups have reacted with dismay, and many providers with relief. We are concerned that adopting this new classification system for reimbursement will be disruptive and costly and will offer no material improvement over the current system.
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Published: 21 March 2012 |
Keyword(s): ICD-10, ICD-11, Information Technology, Public Health, SNOMED CT, Standardization, United States

Five Strategies to Tackle ICD-10

Baldwin G. Health Data Management Magazine, 19(12)

To summarize, fear of the costs, complexity and numerous unknowns of a transition to ICD-10 have many on the industry on edge.
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Published: 1 December 2011 |
Keyword(s): Education, ICD-10, Implementation, United States

Good Things to Say About ICD-10

Changing to ICD-10 diagnosis and procedure coding is a nail-biter for I.T. staff, health information managers, billing departments, and pretty much anyone who has to document anything about patient care.
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Published: 1 December 2011 |
Keyword(s): Coding, ICD-10, SNOMED CT, Standards, United States

Using Electronic Patient Records to Discover Disease Correlations and Stratify Patient Cohorts

Roque FS et al, PLoS Comput Biol, 7(8)

Text mining and information extraction can be seen as the challenge of converting information hidden in text into manageable data. We have used text mining to automatically extract clinically relevant terms from 5543 psychiatric patient records and map these to disease codes in the International Classification of Disease ontology (ICD10). Mined codes were supplemented by existing coded data. For each patient we constructed a phenotypic profile of associated ICD10 codes. This allowed us to cluster patients together based on the similarity of their profiles. The result is a patient stratification based on more complete profiles than the primary diagnosis, which is typically used.
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Published: 25 August 2011 |
Keyword(s): Denmark, Electronic Health Records, ICD-10, Text Mining

Re-engineering the Coding Workflow

Coplan-Gould W et al, Journal of AHIMA, 82(7)

Synergism—where total outcome is greater than the sum of individual parts—is fast entering the daily HIM vernacular.

That’s because three forces are coming together to revolutionize the clinical coding function: electronic health records, computer-assisted coding (CAC), and ICD-10-CM/PCS. Taken together these changes will profoundly alter how coding is performed, managed, and integrated into the healthcare delivery system.
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Published: July 2011 |
Keyword(s): Coding, Electronic Health Records, ICD-10, United States, Workflow

Coding Complexity: US Health Care Gets Ready For The Coming Of ICD-10

Meyer H. Health Affairs, 30(5)

A data deluge is fast approaching for health care providers, including Robert Callahan, a family physician who shares an office with two other family doctors in a brick house on a busy commercial strip in Newark, Delaware. Behind the front desk are shelves crammed with paper charts dating back thirty years to the time when one of the doctors opened the office.
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Published: May 2011 |
Keyword(s): Coding, Data, ICD-10, United States

Overcoming ICD-10 Hurdles

Baldwin G. Health Data Management Magazine, 19(5)

Numbers alone don’t tell the ICD-10 story, but they’re a start. Mandated by the government for industry-wide implementation in Oct. 2013, the new clinical documentation code set expands the number of codes from its predecessor, ICD-9, from about 16,000 to more than 140,000. “It’s not only an expansion of code sets, it’s changing the coding methodology on the surgical side,” says Garri Garrison, director of consulting services for 3M Health Information Systems. “We are moving to a procedural coding system that is quite different than what we use today, with more details on location and what was performed. ICD-10 will have a broad impact across the organization.”
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Published: 1 May 2011 |
Keyword(s): ICD-10, Implementation, United States

Health informatics and the importance of coding

Madden A. Anaesthesia & Intensive Care Medicine, 11(12)

Health informatics can be defined as ‘The knowledge, skills and tools which enable information to be collected, managed, used and shared, to support the delivery of healthcare and to promote health.’ The use of computers in informatics requires standardized codes to identify synonymous medical terms. ICD-10 is used internationally to code morbidity and mortality, OPCS-4 is used in the UK to code operations and procedures, Read codes and CTV3 are used in primary care systems.
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Published: December 2010 |
Keyword(s): Coding, Health Informatics, ICD-10, SNOMED CT, UK

International classification of diseases, 10th edition, clinical modification and procedure coding system: descriptive overview of the next generation HIPAA code sets

Steindel SJ, J Am Med Inform Assoc, 17(3)

Described are the changes to ICD-10-CM and PCS and potential challenges regarding their use in the US for financial and administrative transaction coding under HIPAA in 2013. Using author constructed derivative databases for ICD-10-CM and PCS it was found that ICD-10-CM’s overall term content is seven times larger than ICD-9-CM: only 3.2 times larger in those chapters describing disease or symptoms, but 14.1 times larger in injury and cause sections. A new multi-axial approach ICD-10-PCS increased size 18-fold from its prior version.
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Published: May 2010 |
Keyword(s): ICD-10, Terminology, United States

Formalizing ICD coding rules using Formal Concept Analysis

Jiang, Guoqian et al, Journal of Biomedical Informatics, 42(3)

With the 11th revision of the International Classification of Disease (ICD) being officially launched by the World Health Organization (WHO), the significance of a formal representation for ICD coding rules has emerged as a pragmatic concern. To explore the role of Formal Concept Analysis (FCA) on examining ICD10 coding rules and to develop FCA-based auditing approaches for the formalization process.
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Published: 21 February 2009 |
Keyword(s): Clinical Terminologies, Formal Concept Analysis (FCA), ICD, ICD-10, ICD-11, Semantic, Semantic Web Rule Language (SWRL), Terminology

An Exploratory Review of the National Health Service SNOMED CT to ICD-10 Cross Map

Lau F, Lee D. ElectronicHealthcare, 7(4)

“This paper describes our review findings on the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT or SCT) to International Statistical Classification of Diseases and Related Health Problems Version ICD-10 (SCT-ICD10) cross map from the UK’s National Health Service (NHS).
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Published: 2009 |
Keyword(s): ICD-10, SNOMED CT, Standards

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