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ICD-10 Progression Analysis

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The healthcare industry has evolved in the technology age from medical devices and advanced surgeries to the implementation of ICD-10 and the electronic health record. Progression is not only inevitable for the healthcare industry, but also for society as a whole. This results in increased workflow to ensure continuum of care is being met. A major concern that the health information management (HIM) industry is facing is inaccurate clinical documentation which contributes to coding errors. This causes increased claims rejection which can affect a facility’s revenue. As part of the ICD-10 transition, there is an expectation of high standards in processing medical records while enduring the massive amount of workload that comes along with thousands …show more content…
It is imperative to note that the CAC doesn’t replace the coder, as the coder is still needed to validate the codes and be the decision-maker. Coders are reluctant to use this helpful technology on the basis that CAC will eventually replace their positions. In actuality, “CAC is a tool that helps the coder by scanning documents, highlighting the relevant information, and suggesting codes” (Crawford). A coder’s experience is still needed during the workflow process and the revenue management cycle, but CAC provides much assistance with the workload associated with the transition of ICD-10.
There are numerous advantages to computer assisted coding. A crucial advantage of CAC is the ability to improve the transition from ICD-9 to ICD-10. Many coders are faced with a tough learning curve with the implementation of ICD-10, and professionals fear a decrease in coding productivity. Where coders once relied on manuals for help and 17,000 codes to report, they are now challenged with over 140,000 codes and tougher guidelines. Computer assisted coding has the knowledge of both coding systems, giving coders more time to prepare for the transition while performing dual …show more content…
The answer would be everyone. It was mentioned above that coders were reluctant to adopt this technology because of fear. They feared that the machine would take over their position. After much research this is not the case. This technology is simply helping the industry keep up with the status quo, and evolving the career of a coder to practice more diligence and effective communication. Providers are feeling ease as CAC is now picking up the unnecessary workload of research and comparison of data, allowing employees to focus more on clinical documentation improvement efforts. In time these providers will also start seeing a return on investment as CAC will contribute to fixing some of the hardships the industry is encountering. From reimbursement to effective communication, all of these things come full circle to impact the patient. This software is a step closer to accomplishing the goal of quality of

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