OBJECTIVE Reliability of diagnoses coding is essential for the use of routine data in a national health care system. The present investigation compares reliability of diagnoses coding with ICD-10 between three groups of coding subjects. METHOD One hundred and eighteen students coded 15 diagnoses lists, 27 medical managers from hospitals 34 discharge letters, and 13 coding specialists 12 disch...

Developing the required analytics foundation and capabilities is expensive and time-consuming. It also requires extensive planning and management, especially considering the many competing initiatives and resource constraints across the healthcare value chain. Fortunately for the U.S. healthcare system, the country’s relatively late adoption of ICD-10 has allowed analytics and supporting techno...

ICD-10 will impact many areas of your practice, and your team should represent each of them. The size and complexity of your organization will influence which staff members you choose (and how many) for the internal implementation team, but at a minimum, it should include members from the clinical and administrative areas of the practice. It is preferable to ask a physician with budgetary autho...

The use of the term hypomania in this and other countries impressively follows the Humpty Dumpty principle. Indeed, in the UK many, perhaps a majority of, inpatients are diagnosed to be ‘hypomanic’, perhaps partly out of a sense of politeness. The term manic does, after all, have a pejorative flavour to some ears (pace Jamison, 1996). The original Greek sense of the word is that hypomania is hi...

In most cases, determining payer readiness for an ICD-10 transition involves traditional system testing. The results of this strategy, however, do not completely reflect the widespread impact of ICD-10 on a payer’s business operations. A nontraditional testing approach is also required to understand and address ICD-10’s comprehensive effects on a healthcare organization’s people, processes, par...