ICD-10-CM AND THE PDPM

ICD-10-CM AND

THE PDPM

Mary Ann P. Leonard, RHIA, RAC-CT Health Information Professionals malhip@

ICD-10-CM AND THE PDPM

OBJECTIVES To understand how the ICD-10-CM codes are utilized by the

new payment system To understand how the Clinical Category Mapping is utilized To understand in which `buckets' of the PDPM the diagnostic

code is being used To provide recommendations related to the best utilization

of the ICD-10-CM codes

Health Information Professionals

2

ICD-10-CM AND THE PDPM

ICD-10-CM SOURCE

Health Information Professionals

3

ICD-10-CM AND THE PDPM

Where does the International Classification of Disease, Clinical Modification (ICD-10-CM) come from? Developed through the World Health Organization Adopted by countries around the globe Adapted for the needs of the specific country Utilized to gather information/statistics on diseases Beta testing for ICD-11-CM has been completed

Health Information Professionals

4

ICD-10-CM AND THE PDPM

Sources for criteria for assigning the ICD-10-CM codes

Coding Guidelines published by CDC, DHHS/CMS

Coding Clinic published by the American Hospital Association

? Managed by the Cooperating Parties ? American Hospital Association, American Health Information Association, National Center for Health Statistics, Centers for Medicare/Medicaid Services

? Question and answer format, questions/situations submitted by multiple sources

Health Information Professionals

5

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download