There Are Important Reasons For Delaying Implementation Of The New ICD-10 Coding System
There Are Important Reasons For Delaying Implementation Of The New ICD-10 Coding System
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DOI：
10.1377/hlthaff.2011.1258
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发表时间：
2012-04-01
期刊：
影响因子：
9.7
通讯作者：
Halamka, John D.
中科院分区：
文献类型：
--
作者：
Chute, Christopher G.;Huff, Stanley M.;Halamka, John D.
联邦当局最近表示，他们将考虑推迟实施最新版本的国际疾病分类（ICD-10-CM）的某些方面。ICD-10-CM是一个用于定义医疗保健费用和诊断的编码系统。一些行业组织对此感到沮丧，许多供应商则松了一口气。我们感到关切的是，采用这一新的偿还分类制度将造成混乱，费用高昂，而且与现行制度相比不会有任何实质性改进。由于卫生保健界也在努力整合卫生信息技术和联邦有意义使用规范，这些规范要求采用其他复杂的编码标准化系统（如称为SNOMED CT的系统），因此我们建议医疗保险和医疗补助服务中心考虑推迟采用ICD-10-CM。政策制定者也应该开始规划如何使即将到来的向ICD-11的过渡尽可能为医疗保健和支付界所容忍。
Federal authorities have recently signaled that they would consider delaying some aspects of implementation of the newest version of the International Classification of Diseases, known as ICD-10-CM, a coding system used to define health care charges and diagnoses. Some industry groups have reacted with dismay, and many providers with relief. We are concerned that adopting this new classification system for reimbursement will be disruptive and costly and will offer no material improvement over the current system. Because the health care community is also working to integrate health information technology and federal meaningful-use specifications that require the adoption of other complex coding standardization systems (such as the system called SNOMED CT), we recommend that the Centers for Medicare and Medicaid Services consider delaying the adoption of ICD-10-CM. Policy makers should also begin planning now for ways to make the coming transition to ICD-11 as tolerable as possible for the health care and payment community.