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The Transition to ICD-10-CM/PCS: A Comparison of Physician and Coder Perceptions

Butz, Jennifer Anne
http://rave.ohiolink.edu/etdc/view?acc_num=osu1428911324

Abstract Details

2015, Master of Science, Ohio State University, Allied Medical Professions.
Background: The United States (U.S.) has used ICD-9-CM/PCS to capture descriptive data about diseases and procedures since the late 1970s. Although the World Health Organization (WHO) released ICD-10 in 1990, the U.S. has yet to transition to the more detailed and descriptive system and in 2017, the WHO will release ICD-11. While the limitations of ICD-9 are well documented and recognized throughout the healthcare industry, the transition to ICD-10 continues to be delayed. The transition to ICD-10 has become a highly polarized debate in which industry leaders are focusing their efforts in lobbying for either a timely implementation of ICD-10 or else additional delays. Design and Methods: A secure online survey was distributed to physicians and coders; the survey included questions about the perception of the upcoming transition to ICD-10, how the transition would likely affect their workload, and socio-demographic questions. The coder survey was distributed October 2014 through February 2015 via the Ohio Health Information Management Association (OHIMA) October 2014 newsletter, the OHIMA 2014 Fall Seminar, and the American Health Information Management Association (AHIMA) Coding, Classification, and Reimbursement Online Community. The physician survey was distributed in September 2014 to the Association of Medical Directors of Information Systems (AMDIS) listserv. The nonparametric Mann-Whitney U Test was used to determine if the difference was statistically significant for questions that were hypothesized a priori to be different between the two groups of respondents. Results: While the majority of coders and physicians agreed that ICD-9 should be replaced, as hypothesized, there was a statistically significant difference between coder and physician responses when asked if ICD-10 should be delayed again and if U.S. should skip ICD-10 and wait to implement ICD-11. Physicians agreed more with both statements than coders. Additionally, the majority of physicians preferred a simpler coding and documentation system than ICD-10, while coders preferred more detail and integration. Finally, both physicians and coders expected an increase in the amount of interactions between the two groups with the implementation of ICD-10. Conclusion: Physicians expressed a stronger desire to delay the implementation of ICD-10 than coders. On the other hand, further postponement of ICD-10 or waiting until ICD-11 to transition are not realistic objectives. The data provided by ICD-9 is not descriptive enough to support the evolving healthcare industry and the U.S. cannot wait for the version of ICD-11 which would adequately support billing requirements. The amount of detail in documentation is the primary concern among both physicians and coders with ICD-10. Physicians are concerned about the time the additional detail in documentation will take away from patient care, while coders are concerned that provider documentation will not provide enough detail to support justified ICD-10 codes.
Emily Patterson (Advisor)
Laurie Rinehart-Thompson (Committee Member)
Amanda Agnew (Committee Member)
104 p.
Health Care; Health Sciences
ICD-10, ICD-10-CMPCS, ICD-10-CM, ICD-10-PCS, coding

Recommended Citations

Citations

  • Butz, J. A. (2015). The Transition to ICD-10-CM/PCS: A Comparison of Physician and Coder Perceptions [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1428911324

    APA Style (7th edition)

  • Butz, Jennifer. The Transition to ICD-10-CM/PCS: A Comparison of Physician and Coder Perceptions. 2015. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1428911324.

    MLA Style (8th edition)

  • Butz, Jennifer. "The Transition to ICD-10-CM/PCS: A Comparison of Physician and Coder Perceptions." Master's thesis, Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1428911324

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.