seven ICD-10-CM uses a disease index to initially locate codes for conditions and a _ to verify codes. clinical picture ICD-10-CM codes require up to _ characters, are entirely alphanumeric, and have unique coding conventions. The intent of ICD-10-CM is to describe the _ of the patient, which means codes are more precise than those needed for ICD-9-CM's statistical groupings and trend analysis. evaluation of medical processes and outcomes. in- and outpatient, hospital, and provider office records ICD-10-CM also enhances accurate payment for services rendered and facilitates _. ICD-10-CM/PCS ICD-10-CM includes many more codes and applies to more users than ICD-9-CM because it is designed to collect data on every type of health care encounter, which includes _. Procedures and services The Centers for Medicare and Medicaid Services (CMS) abbreviates ICD-10-CM and ICD-10- PCS as _. Mortality (disease) The International Classification of Diseases, 10th Revision, Procedure Classification System (ICD-10-PCS) codes and classifies _. Value The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes and classifies _. Evidence The treatment is cost-effective for this condition when compared to alternative treatments, including no treatment. Scope The treatment is known to be effective in improving health outcomes. Purpose The most appropriate level of service is provided, taking into consideration potential benefit and harm to the patient. encounter The procedure or service is performed to treat a medical condition. "the determination that a service or procedure rendered is reasonable and necessary for the diagnosis or treatment of an illness or injury." A(n) _ is a face-to-face contact between a patient and a health care provider (e.g., physician, nurse practitioner) who assesses and treats the patient's condition. ICD-9-CM Medicare defines medical necessity as _. ICD-9-CM Effective October 1, 2015, ICD-10-CM and ICD-10-PCS replaced _. computer-assisted coding (CAC) The Medicare Catastrophic Coverage Act of 1988 mandated the reporting of _ diagnosis codes on Medicare claims. ICD-10-CM/PCS Coordination and Maintenance Committee Automating the medical coding process is the goal of _, which uses a natural language processing engine to "read" patient records and generate ICD-10-CM and HCPCS/CPT codes. Department of Health and Human Services (DHHS) agencies that comprise the _. encoders The National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS) are the U.S. This means that computerized or web-based software (Figure 6-2) is used instead of coding manuals. multiaxial seven-character alphanumeric code structure (e.g., 047K04Z) Some companies also publish _, which automate the coding process. ICD-10-PCS ICD-10-PCS uses a _ that provides a unique code for all substantially different procedures. (1) include health-related conditions, (2) provide much greater specificity at the sixth digit level, and (3) add a seventh digit extension (for some codes) _ is an entirely new procedure classification system that was developed by CMS for use in inpatient hospital settings only. Assigning the sixth and seventh characters when available for ICD-10-CM codes is mandatory because they report information documented in the patient record. physician query process ICD-10-CM far exceeds ICD-9-CM in the number of codes provided, having been expanded to (1) _, (2) _, (3) _. When coders have questions about documented diagnoses or procedures/ services, they should use a _ to contact the responsible physician to request clarification about documentation and the code(s) to be assigned. The format of ICD-10-CM is similar to ICD-9-CM Volumes 1 and 2 in that both coding systems use a(n) disease index to initially locate codes for conditions and a tabular list to verify codes.
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