A new white paper from the industry bellwether looks back, forward in framing big picture of coding.
Benchmarking, the term that encompasses performance measurement in the healthcare industry, will be key for providers seeking to refine their efforts to master ICD-10 as ICD-11 implementation looms in the distance, according to a new white paper published by the American Health Information Management Association (AHIMA).
“With ICD-10-CM/PCS fully in place, from the healthcare industry’s perspective, leaders in health information management (HIM) departments continue to assess its success and functionality,” the Association said in a press release announcing the white paper’s publication. “As the industry looks ahead to where coding productivity will go next, HIM leaders must measure its progress, as coding plays a huge role in controlling costs, structuring risk management, (and) ensuring quality care, among other issues, in the broader healthcare landscape.”
AHIMA’s white paper, titled Measuring and Benchmarking Coding Productivity: A Decade of AHIMA Leadership, outlines the Association’s review of how coding has evolved – “beginning with ICD-9-CM, the transition to ICD-10, and looking ahead to what the healthcare industry can expect next in coding and documentation.”
“By leading the transition from ICD-9 to ICD-10, AHIMA and our members saw the growing demand for high-quality data to support patient safety and reduce healthcare costs and continue to develop best practices to meet the demand,” AHIMA CEO Wylecia Wiggs Harris said. “Benchmarking where we’ve been against where we are now allows us to look at how coding affects the various sectors of the healthcare industry, and ultimately lets us pave the way for the future of coding productivity.”
AHIMA’s white paper lays out a timeline of ICD-10 implementation, noting that a key first step was evaluating the productivity of ICD-9 to create a benchmark for the 10th edition of the International Statistical Classification of Diseases and Related Health Problems. The Association said the following attributes proved to rank among the most critical when it came to increasing the likelihood of achieving optimal coding productivity:
Full implementation of ICD-10 took place in October 2015 – four years after the initial federal target goal of October 2011. But in the three years and change since, AHIMA touted what it labeled several of its landmark achievements in gauging the healthcare industry’s progress:
AHIMA, which represents over 100,000 HIM professionals worldwide, pledged in its press release to continue to “conduct research to address numerous points of coding productivity in various settings, such as outpatient, emergency room, home care, long-term/post-acute care and more. The organization will also look at characteristics of the coder such as education, experience, incentives and credentials, in order to ensure success for the HIM profession.”
“With ICD-11 on the horizon, AHIMA is prepared to lead the way through ongoing research related to current and future versions of ICD and how they can help improve coding productivity, accuracy and quality,” Harris said. “In this way, accurately benchmarking coding productivity helps contribute to the long-term sustainability of the greater healthcare landscape.”
For more information about the Association and its various initiatives, go online to www.ahima.org.
Program Note:
Listen to AHIMA’s Julie Dooling report this story live today on Talk Ten Tuesday, 10 a.m. EST.
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EDITOR’S NOTE: The narrative in this article reflects the firsthand perspectives and professional experience of Tami McMasters Gomez, curated and prepared for publication by Penny
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