Diagnosis Coding for Clinicians: Core Knowledge and Transition to ICD-10

Abstract

OPEN ACCESSJune 18, 2014Diagnosis Coding for Clinicians: Core Knowledge and Transition to ICD-10 Davoren Chick, MD, Margie Andreae, MD Davoren Chick, MD University of Michigan Medical School Google Scholar More articles by this author , Margie Andreae, MD University of Michigan Medical School Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9823 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: Graduate medical education programs and academic health systems have long struggled with providing sufficient training in the regulatory and business aspects of health care. Needs assessments confirm that medical students, medical residents, surgical residents, and faculty all rank the topic of billing and coding as an area of curricular need. Indeed, data demonstrates that incorrect coding by academic medical center learners leads to large financial losses and that educational content is needed to address the financial needs of academic institutions. Nationally, internal medicine curricular milestones have recognized the understanding of coding and reimbursement principles as a curricular milestone toward development of competence in systems-based practice. Superimposed upon these chronic concerns, the national transition to ICD-10 coding increases the need for immediately available teaching content on the importance of diagnosis coding. Methods: In response, Diagnosis Coding for Clinicians: Core Knowledge and Transition to ICD-10 provides succinct educational content that can be individually reviewed by graduate medical and continuing medical learners. The content is specifically designed to assist training programs and learners with the transition to ICD-10 coding in a manner that supports accurate and specific medical coding practices. The content is provided as an interactive audiovisual presentation that automatically launches on standard personal computers or handheld devices. The presentation can be loaded on learning management systems or provided on a training website. An accompanying examination may be used to document minimum knowledge achievement for inclusion in a learning portfolio. Results: Diagnosis Coding for Clinicians: Core Knowledge and Transition to ICD-10 is now mandatory for all billing physicians, house officers, and midlevel providers at the University of Michigan Health System, where each mandated learner must pass a content exam with a minimum 80% correct score. Discussion: The content has been peer-reviewed and approved by a series of physician leaders, hospital executives, and coding specialists at the University of Michigan Health System. Focus groups of learners have found the information clear, relevant, appropriately succinct, and engaging. Educational Objectives By completion of this module, learners will be able to: Describe the origins and uses of diagnosis codes.Acknowledge financial, clinical, and reporting implications of diagnosis code selection.Acknowledge clinical documentation implications of the national transition to the ICD-10 code system.Describe the medical necessity rule.Describe the origins and uses of service codes. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide Diagnosis Coding.pdf Diagnosis Coding For Clinicians Folder Exam Diagnosis Coding.docx To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationChick D, Andreae M. Diagnosis Coding for Clinicians: Core Knowledge and Transition to ICD-10. MedEdPORTAL. 2014;10:9823. https://doi.org/10.15766/mep_2374-8265.9823 Copyright & Permissions© 2014 Chick and Andreae. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsICD-10-CMBusinessComplianceICD-10-PCSCommerceCodingInternational Classification of DiseasesDiagnosis CodingBillingICD-10Clinical CodingSystems-Based PracticeICD Disclosures None to report. Funding/Support None to report. tabs.loading