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Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...
A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding. Diagnosis classifications list diagnosis codes, which are used to track diseases and other health conditions, inclusive of chronic diseases such as diabetes mellitus and heart ...
An ICD is the umbrella document over the system interfaces; examples of what these interface specifications should describe include: The inputs and outputs of a single system, documented in individual SIRS (Software Interface Requirements Specifications) and HIRS (Hardware Interface Requirements Specifications) documents, would fall under "The Wikipedia Interface Control Document".
Optum ICD-10 Training Curriculum Helps Hospitals Prepare for the New Coding Standard Optum ICD-10 Core Education delivers comprehensive training to prepare physicians, coders and other staff ...
The ICD-10 Clinical Modification ( ICD-10-CM) is a set of diagnosis codes used in the United States of America. [ 1] It was developed by a component of the U.S. Department of Health and Human services, [ 2] as an adaption of the ICD-10 with authorization from the World Health Organization. In 2015, ICD-10-CM replaced ICD-9-CM as the federally ...
The International Classification of Diseases, Clinical Modification (ICD-9-CM) was an adaptation created by the US National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9 but ...
Preparticipation physical evaluation. In sports medicine, a preparticipation physical evaluation ( PPE) is a physical examination of an athlete. [ 1] PPEs screen for a variety of conditions, including athletic heart syndrome [ 2] and risk of sudden cardiac death. [ 3][ 4] PPEs are required for athletic participation according to the laws of ...
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [ 1] Work on ICD-10 began in 1983, [ 2 ...