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Discussion

ICD 10 coding system

We have a new mandatory inservice on the computer. It's regarding the new coding system, ICD 10, a monumental update from the old ICD 9 that has been in place since the 1970s.

I never knew a thing about coding, I learned a lot. This new system sounds extremely logical.

It's going to be a huge hassle to convert to. I was surprised to see nursing included, but I think it's to reinforce the crucial importance of our EMR charting to justify diagnoses, and to capture revenue. It's a reality that we can't ignore.

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    I don't know if we are included, but my department has some coders and we are finally going to convert. The US is one of the last countries to convert to ICD 10. I remember from my informatics class that all of Europe is already on ICD 10. (I am a rapid response nurse, but my department has wound care, QI, Risk, etc. under the same manager.)

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    Working in a clinic, everyone who sees their own patients, including myself, has to fill out superbills. I think everyone who is responsible for billing should receive training in it. I KNOW we miss out on capturing a lot of revenue.

    I like to comb through the bill and circle everything I think is relevant. Which is sort of a dumb exercise in futility, because they don't bill for my visits anyway. Oh well.

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    This was in the making for years. I was supposed to roll out October 2014 and then again in January. It's huge.

    Hopefully they have a "coder" to look everything over. I see why the nurse would be included, but not to have the final word.

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