Insights On The Concept Of Hospital Coding – OnlineInformation.org


All professions in the health care sector function within stipulated standards of health analysis.In appreciation of the need for uniformity, hospital coding was designed by international health organizations such as WHO. Medical coding refers to the way medical diagnostics, clinical procedures and health related matters are converted into commonly recognized code numbers by all countries.

Diagnosis codes track diseases and related health concerns including chronic ailments like diabetes melitus and cardiac diseases, and ailments which spread easily such as norvirus, athlete foot and the flu. The procedural codes are applied in public health programs, private insurance companies and others sectors including workers compensation carriers.

These classification identities are used in most areas of medicine, pharmacies, in public health as well as informatics analysis in medicine . They include statistical analysis of diseases, therapy reactions, reimbursement of diagnostic groups, decisions for support systems and surveillance on epidemic and pandemic outbreaks. Basically, the main classes in classification systems are the country specific standards and international standards.

In the statistical system, similar clinical concepts are grouped together into categories. The categories are limited to maintain a small size altogether. Some of these are those used by International statistical classification for diseases and related problems of health. For instance, international statistics place circulatory system diseases as chapter 1, with codes from 100 to 199. One of the code titles under this class is supra-ventricular tachycardia under which we also have some clinical concepts like the proxysmal junction tachycardia, nodal tachycardia and auricular tachycardia, among others. Another distinguishing feature of statistical classification is seen in the provision for unspecified and extra conditions that may not be placed in any particular category.

In a nomenclature system, there exists separate lists and codes for every clinical concept in health. Considering the previous example, each of the listed tachycardia bears its own code. Thus, in this respect, nomenclature is regarded as ineffective in compiling health statistics.


These Coding systems that define concepts in healthcare are of various types. Diagnosis codes are used to determine a disease and its symptoms and they can also be used to measure morbidity and mortality amongst given patient groups. Procedural codes are numbers and alphanumeric codes used in identifying health interventions to be executed by medical professionals.

The main body of world class health, world health organization, administers several internationally adopted classification designs in order to supervise health related data for populations with regard to time and in compiling consistent national data. The family involves international classification and includes three major groupings on the basis of parameters of health which are designed by the organization and finally approved by the World International Health Assembly.

Healthcare coding is growing rampantly in the health industry and the demand for coders is very high. In most countries, this job is plentiful and the salaries mostly start at $30000 a year. Anyone considering to join a career in this particular healthcare line must have the two main basics of the field, education and certification. In addition, aspirants competence and preciseness are two qualities that would give one an upper hand in the job

An upcoming tendency in coding is outsourcing classification work to third parties. As technology develops, classification platforms are also developing and the outsourcing models will in effect begin to get good basis in the health industry.

When you are looking for information about hospital coding, pay a visit to the web pages online here today. You can see details at http://primacodemasters.net now.

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Weston Coder III Job – FL, 33326 – Jobs at Cleveland Clinic

Coder III

Reference Title
HR Use Only:
Hospital: Florida Hospital Non-Exempt
Facility: CC Florida Hospital Weston
Department: Medical Records
Job Code: 000884
Pay Grade: 14
Schedule: Full Time
Shift: Day/Evening
Hours: 8 A.M.-5:00PM
Job Details: – 2 years experience required

GENERAL SUMMARY

Participates daily, in coding and abstracting activities. Identifies, reviews, interprets, abstracts and codes clinical information from Inpatient records with some back up in area of outpatient surgeries and observation records for the purpose of research, reimbursement and compliance with federal regulations and other agencies utilizing established coding principles and protocols. A Coder 3 must meet productivity and quality standards and must meet coding/abstracting goals to expedite the billing process, as well as, expedite the retrieval for physician access and ongoing patient care.

MINIMUM QUALIFICATIONS:

A. Education, Knowledge, Skills and Abilities

Graduation from accredited Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) program or Certified Coding Specialist (CCS) certified or two years of college education in science related field including anatomy/physiology, basic disease process, medical terminology. Requires strong verbal skills in interpersonal situations.

B. Required Length and Type of Experience

Minimum of 2 or more years experience in the application of ICD-9-CM and CPT-4 coding, recording of and interpreting clinical data from medical records of inpatients in acute care facility. After selection and placement into this position, at least 3 months of on-the-job training with attendance at comprehensive training sessions in order to code clinical data with a high degree of accuracy.

C. Required Licensure, Certification or Registry

CCS or RHIT or RHIA required.

Category: Clerical/Administrative Support

Is Coding the New Literacy? | Mother Jones

In the winter of 2011, a handful of software engineers landed in Boston just ahead of a crippling snowstorm. They were there as part of Code for America, a program that places idealistic young coders and designers in city halls across the country for a year. They’d planned to spend it building a new website for Boston’s public schools, but within days of their arrival, the city all but shut down and the coders were stuck fielding calls in the city’s snow emergency center.

In such snowstorms, firefighters can waste precious minutes finding and digging out hydrants. A city employee told the CFA team that the planning department had a list of street addresses for Boston’s 13,000 hydrants. “We figured, ‘Surely someone on the block with a shovel would volunteer if they knew where to look,'” says Erik Michaels-Ober, one of the CFA coders. So they got out their laptops.


Now, Boston has adoptahydrant.org, a simple website that lets residents “adopt” hydrants across the city. The site displays a map of little hydrant icons. Green ones have been claimed by someone willing to dig them out after a storm, red ones are still available—500 hydrants were adopted last winter.

Maybe that doesn’t seem like a lot, but consider what the city pays to keep it running: $9 a month in hosting costs. “I figured that even if it only led to a few fire hydrants being shoveled out, that could be the difference between life or death in a fire, so it was worth doing,” Michaels-Ober says. And because the CFA team open-sourced the code, meaning they made it freely available for anyone to copy and modify, other cities can adapt it for practically pennies. It has been deployed in Providence, Anchorage, and Chicago. A Honolulu city employee heard about Adopt-a-Hydrant after cutbacks slashed his budget, and now Honolulu has Adopt-a-Siren, where volunteers can sign up to check for dead batteries in tsunami sirens across the city. In Oakland, it’s Adopt-a-Drain.

Sounds great, right? These simple software solutions could save lives, and they were cheap and quick to build. Unfortunately, most cities will never get a CFA team, and most can’t afford to keep a stable of sophisticated programmers in their employ, either. For that matter, neither can many software companies in Silicon Valley; the talent wars have gotten so bad that even brand-name tech firms have been forced to offer employees a bonus of upwards of $10,000 if they help recruit an engineer.

In fact, even as the Department of Labor predicts the nation will add 1.2 million new computer-science-related jobs by 2022, we’re graduating proportionately fewer computer science majors than we did in the 1980s, and the number of students signing up for Advanced Placement computer science has flatlined.

There’s a whole host of complicated reasons why, from boring curricula to a lack of qualified teachers to the fact that in most states computer science doesn’t count toward graduation requirements. But should we worry? After all, anyone can learn to code after taking a few fun, interactive lessons at sites like Codecademy, as a flurry of articles in everything from TechCrunch to Slate have claimed. (Michael Bloomberg pledged to enroll at Codecademy in 2012.) Twelve million people have watched a video from Code.org in which celebrities like NBA All-Star Chris Bosh and will.i.am pledged to spend an hour learning code, a notion endorsed by President Obama, who urged the nation: “Don’t just play on your phone—program it.”

So you might be forgiven for thinking that learning code is a short, breezy ride to a lush startup job with a foosball table and free kombucha, especially given all the hype about billion-dollar companies launched by self-taught wunderkinds (with nary a mention of the private tutors and coding camps that helped some of them get there). The truth is, code—if what we’re talking about is the chops you’d need to qualify for a programmer job—is hard, and lots of people would find those jobs tedious and boring.

But let’s back up a step: What if learning to code weren’t actually the most important thing? It turns out that rather than increasing the number of kids who can crank out thousands of lines of JavaScript, we first need to boost the number who understand what code can do. As the cities that have hosted Code for America teams will tell you, the greatest contribution the young programmers bring isn’t the software they write. It’s the way they think. It’s a principle called “computational thinking,” and knowing all of the Java syntax in the world won’t help if you can’t think of good ways to apply it.

Unfortunately, the way computer science is currently taught in high school tends to throw students into the programming deep end, reinforcing the notion that code is just for coders, not artists or doctors or librarians. But there is good news: Researchers have been experimenting with new ways of teaching computer science, with intriguing results. For one thing, they’ve seen that leading with computational thinking instead of code itself, and helping students imagine how being computer savvy could help them in any career, boosts the number of girls and kids of color taking—and sticking with—computer science. Upending our notions of what it means to interface with computers could help democratize the biggest engine of wealth since the Industrial Revolution.
 

So what is computational thinking? If you’ve ever improvised dinner, pat yourself on the back: You’ve engaged in some light CT.

There are those who open the pantry to find a dusty bag of legumes and some sad-looking onions and think, “Lentil soup!” and those who think, “Chinese takeout.” A practiced home cook can mentally sketch the path from raw ingredients to a hot meal, imagining how to substitute, divide, merge, apply external processes (heat, stirring), and so on until she achieves her end. Where the rest of us see a dead end, she sees the potential for something new.

If seeing the culinary potential in raw ingredients is like computational thinking, you might think of a software algorithm as a kind of recipe: a step-by-step guide on how to take a bunch of random ingredients and start layering them together in certain quantities, for certain amounts of time, until they produce the outcome you had in mind.

Like a good algorithm, a good recipe follows some basic principles. Ingredients are listed first, so you can collect them before you start, and there’s some logic in the way they are listed: olive oil before cumin because it goes in the pan first. Steps are presented in order, not a random jumble, with staggered tasks so that you’re chopping veggies while waiting for water to boil. A good recipe spells out precisely what size of dice or temperature you’re aiming for. It tells you to look for signs that things are working correctly at each stage—the custard should coat the back of a spoon. Opportunities for customization are marked—use twice the milk for a creamier texture—but if any ingredients are absolutely crucial, the recipe makes sure you know it. If you need to do something over and over—add four eggs, one at a time, beating after each—those tasks are boiled down to one simple instruction.

Much like cooking, computational thinking begins with a feat of imagination, the ability to envision how digitized information—ticket sales, customer addresses, the temperature in your fridge, the sequence of events to start a car engine, anything that can be sorted, counted, or tracked—could be combined and changed into something new by applying various computational techniques. From there, it’s all about “decomposing” big tasks into a logical series of smaller steps, just like a recipe.

Those techniques include a lot of testing along the way to make sure things are working. The culinary principle of mise en place is akin to the computational principle of sorting: organize your data first, and you’ll cut down on search time later. Abstraction is like the concept of “mother sauces” in French cooking (béchamel, tomato, hollandaise), building blocks to develop and reuse in hundreds of dishes. There’s iteration: running a process over and over until you get a desired result. The principle of parallel processing makes use of all available downtime (think: making the salad while the roast is cooking). Like a good recipe, good software is really clear about what you can tweak and what you can’t. It’s explicit. Computers don’t get nuance; they need everything spelled out for them.

Put another way: Not every cook is a David Chang, not every writer is a Jane Austen, and not every computational thinker is a Guido van Rossum, the inventor of the influential Python programming language. But just as knowing how to scramble an egg or write an email makes life easier, so too will a grasp of computational thinking. Yet the “learn to code!” camp may have set people on the uphill path of mastering C++ syntax instead of encouraging all of us to think a little more computationally.

The happy truth is, if you get the fundamentals about how computers think, and how humans can talk to them in a language the machines understand, you can imagine a project that a computer could do, and discuss it in a way that will make sense to an actual programmer. Because as programmers will tell you, the building part is often not the hardest part: It’s figuring out what to build. “Unless you can think about the ways computers can solve problems, you can’t even know how to ask the questions that need to be answered,” says Annette Vee, a University of Pittsburgh professor who studies the spread of computer science literacy.

Indeed, some powerful computational solutions take just a few lines of code—or no code at all. Consider this lo-fi example: In 1854, a London physician named John Snow helped squelch a cholera outbreak that had killed 616 residents. Brushing aside the prevailing theory of the disease—deadly miasma—he surveyed relatives of the dead about their daily routines. A map he made connected the disease to drinking habits: tall stacks of black lines, each representing a death, grew around a water pump on Broad Street in Soho that happened to be near a leaking cesspool. His theory: The disease was in the water. Classic principles of computational thinking came into play here, including merging two datasets to reveal something new (locations of deaths plus locations of water pumps), running the same process over and over and testing the results, and pattern recognition. The pump was closed, and the outbreak subsided.


Or take Adopt-a-Hydrant. Under the hood, it isn’t a terribly sophisticated piece of software. What’s ingenious is simply that someone knew enough to say: Here’s a database of hydrant locations, here is a universe of people willing to help, let’s match them up. The computational approach is rooted in seeing the world as a series of puzzles, ones you can break down into smaller chunks and solve bit by bit through logic and deductive reasoning. That’s why Jeannette Wing, a VP of research at Microsoft who popularized the term “computational thinking,” says it’s a shame to think CT is just for programmers. “Computational thinking involves solving problems, designing systems, and understanding human behavior,” she writes in a publication of the Association for Computing Machinery. Those are handy skills for everybody, not just computer scientists.

In other words, computational thinking opens doors. For while it may seem premature to claim that today every kid needs to code, it’s clear that they’re increasingly surrounded by opportunities to code—opportunities that the children of the privileged are already seizing. The parents of Facebook founder Mark Zuckerberg got him a private computer tutor when he was in middle school. Last year, 13,000 people chipped in more than $600,000 via Kickstarter for their own limited-edition copy of Robot Turtles, a board game that teaches programming basics to kids as young as three. There are plenty of free, kid-oriented code-learning sites—like Scratch, a programming language for children developed at MIT—but parents and kids in places like San Francisco or Austin are more likely to know they exist.

Computer scientists have been warning for decades that understanding code will one day be as essential as reading and writing. If they’re right, understanding the importance of computational thinking can’t be limited to the elite, not if we want some semblance of a democratic society. Self-taught auteurs will always be part of the equation, but to produce tech-savvy citizens “at scale,” to borrow an industry term, the heavy lifting will happen in public school classrooms. Increasingly, to have a good shot at a good job, you’ll need to be code literate.

“Code literate.” Sounds nice, but what does it mean? And where does literacy end and fluency begin? The best way to think about that is to look to the history of literacy itself.

Reading and writing have become what researchers have called “interiorized” or “infrastructural,” a technology baked so deeply into everyday human life that we’re never surprised to encounter it. It’s the main medium through which we connect, via not only books and papers, but text messages and the voting booth, medical forms and shopping sites. If a child makes it to adulthood without being able to read or write, we call that a societal failure.

Yet for thousands of years writing was the preserve of the professional scribes employed by the elite. So what moved it to the masses? In Europe at least, writes literacy researcher Vee, the tipping point was the Domesday Book, an 11th-century survey of landowners that’s been called the oldest public record in England.


Commissioned by William the Conqueror to take stock of what his new subjects held in terms of acreage, tenants, and livestock so as to better tax them, royal scribes fanned across the countryside taking detailed notes during in-person interviews. It was like a hands-on demo on the efficiencies of writing, and it proved contagious. Despite skepticism—writing was hard, and maybe involved black magic—other institutions started putting it to use. Landowners and vendors required patrons and clients to sign deeds and receipts, with an “X” if nothing else. Written records became admissible in court. Especially once Johannes Gutenberg invented the printing press, writing seeped into more and more aspects of life, no longer a rarefied skill restricted to a cloistered class of aloof scribes but a function of everyday society.

Fast forward to 19th-century America, and it’d be impossible to walk down a street without being bombarded with written information, from newspapers to street signs to store displays; in the homes of everyday people, personal letters and account ledgers could be found. “The technology of writing became infrastructural,” Vee writes in her paper “Understanding Computer Programming As a Literacy.” “Those who could not read text began to be recast as ‘illiterate’ and power began to shift towards those who could.” Teaching children how to read became a civic and moral imperative. Literacy rates soared over the next century, fostered through religious campaigns, the nascent public school system, and the at-home labor of many mothers.

Of course, not everyone was invited in immediately: Illiteracy among women, slaves, and people of color was often outright encouraged, sometimes even legally mandated. But today, while only some consider themselves to be “writers,” practically everybody reads and writes every day. It’s hard to imagine there was ever widespread resistance to universal literacy.

So how does the history of computing compare? Once again, says Vee, it starts with a census. In 1880, a Census Bureau statistician, Herman Hollerith, saw that the system of collecting and sorting surveys by hand was buckling under the weight of a growing population. He devised an electric tabulating machine, and generations of these “Hollerith machines” were used by the bureau until the 1950s, when the first commercial mainframe, the UNIVAC, was developed with a government research grant. “The first successful civilian computer,” it was a revolution in computing technology: Unlike the “dumb” Hollerith machine and its cousins, which ran on punch cards, vacuum tubes, and other mechanical inputs that had to be manually entered over and over again, the UNIVAC had memory. It could store instructions, in the form of programs, and remember earlier calculations for later use.1

Once the UNIVAC was unveiled, research institutions and the private sector began clamoring for mainframes of their own. The scribes of the computer age, the early programmers who had worked on the first large-scale computing projects for the government during the war, took jobs at places like Bell Labs, the airline industry, banks, and research universities. “The spread of the texts from the central government to the provinces is echoed in the way that the programmers who cut their teeth on major government-funded software projects then circulated out into smaller industries, disseminating their knowledge of code writing further,” Vee writes. Just as England had gone from oral tradition to written record after the Domesday Book, the United States in the 1960s and ’70s shifted from written to computational record.

The 1980s made computers personal, and today it’s impossible not to engage in conversations powered by code, albeit code that’s hidden beneath the interfaces of our devices. But therein lies a new problem: The easy interface creates confusion around what it means to be “computer literate.” Interacting with an app is very different from making or tweaking or understanding one, and opportunities to do the latter remain the province of a specialized elite. In many ways, we’re still in the “scribal stage” of the computer age.

But the tricky thing about literacy, Vee says, is that it begets more literacy. It happened with writing: At first, laypeople could get by signing their names with an “X.” But the more people used reading and writing, the more was required of them.

We can already see code leaking into seemingly far-removed fields. Hospital specialists collect data from the heartbeat monitors of day-old infants, and run algorithms to spot babies likely to have respiratory failure. Netflix is a gigantic experiment in statistical machine learning. Legislators are being challenged to understand encryption and relational databases during hearings on the NSA.

The most exciting advances in most scientific and technical fields already involve big datasets, powerful algorithms, and people who know how to work with both. But that’s increasingly true in almost any profession. English literature and computer science researchers fed Agatha Christie’s oeuvre into a computer, ran a textual-analysis program, and discovered that her vocabulary shrank significantly in her final books. They drew from the work of brain researchers and put forth a new hypothesis: Christie suffered from Alzheimer’s. “More and more, no matter what you’re interested in, being computationally savvy will allow you to do a better job,” says Jan Cuny, a leading CS researcher at the National Science Foundation (NSF).

Grace Hopper

It may be hard to swallow the idea that coding could ever be an everyday activity on par with reading and writing in part because it looks so foreign (what’s with all the semicolons and carets)? But remember that it took hundreds of years to settle on the writing conventions we take for granted today: Early spellings of words—Whan that Aprille with his shoures soote—can seem as foreign to modern readers as today’s code snippets do to nonprogrammers. Compared to the thousands of years writing has had to go from notched sticks to glossy magazines, digital technology has, in 60 years, evolved exponentially faster.

Our elementary-school language arts teachers didn’t drill the alphabet into our brains anticipating Facebook or WhatsApp or any of the new ways we now interact with written material. Similarly, exposing today’s third-graders to a dose of code may mean that at 30 they retain enough to ask the right questions of a programmer, working in a language they’ve never seen on a project they could never have imagined.

One day last year, Neil Fraser, a young software engineer at Google, showed up unannounced at a primary school in the coastal Vietnamese city of Da Nang. Did the school have computer classes, he wanted to know, and could he sit in? A school official glanced at Fraser’s Google business card and led him into a classroom of fifth-graders paired up at PCs while a teacher looked on. What Fraser saw on their screens came as a bit of a shock.

Fraser, who was in Da Nang visiting his girlfriend’s family, works in Google’s education department in Mountain View, teaching JavaScript to new recruits. His interest in computer science education often takes him to high schools around the Bay Area, where he tells students that code is fun and interesting, and learning it can open doors after graduation.

The fifth-graders in Da Nang were doing exercises in Logo, a simple program developed at MIT in the 1970s to introduce children to programming. A turtle-shaped avatar blinked on their screens and the kids fed it simple commands in Logo‘s language, making it move around, leaving a colored trail behind. Stars, hexagons, and ovals bloomed on the monitors.

Logo turtle

Fraser, who learned Logo when the program was briefly popular in American elementary schools, recognized the exercise. It was a lesson in loops, a bedrock programming concept in which you tell the machine to do the same thing over and over again, until you get a desired result. “A quick comparison with the United States is in order,” Fraser wrote later in a blog post. At Galileo Academy, San Francisco’s magnet school for science and technology, he’d found juniors in a computer science class struggling with the concept of loops. The fifth-graders in Da Nang had outpaced upperclassmen at one of the Bay Area’s most tech-savvy high schools.

Another visit to an 11th-grade classroom in Ho Chi Minh City revealed students coding their way through a logic puzzle embedded in a digital maze. “After returning to the US, I asked a senior engineer how he’d rank this question on a Google interview,” Fraser wrote. “Without knowing the source of the question, he judged that this would be in the top third.”

Early code education isn’t just happening in Vietnamese schools. Estonia, the birthplace of Skype, rolled out a countrywide programming-centric curriculum for students as young as six in 2012. In September, the United Kingdom will launch a mandatory computing syllabus for all students ages 5 to 16.

Meanwhile, even as US enrollment in almost all other STEM (science, technology, engineering, and math) fields has grown over the last 20 years, computer science has actually lost students, dropping from 25 percent of high school students earning credits in computer science to only 19 percent by 2009, according to the National Center for Education Statistics.

“Our kids are competing with kids from countries that have made computer science education a No. 1 priority,” says Chris Stephenson, the former head of the Computer Science Teachers Association (CSTA). Unlike countries with federally mandated curricula, in the United States computer lesson plans can vary widely between states and even between schools in the same district. “It’s almost like you have to go one school at a time,” Stephenson says. In fact, currently only 20 states and Washington, DC, allow computer science to count toward core graduation requirements in math or science, and not one requires students to take a computer science course to graduate. Nor do the new Common Core standards, a push to make K-12 curricula more uniform across states, include computer science requirements.

It’s no surprise, then, that the AP computer science course is among the College Board’s least popular offerings; last year, almost four times more students tested in geography (114,000) than computer science (31,000). And most kids don’t even get to make that choice; only 17 percent of US high schools that have advanced placement courses do so in CS. It was 20 percent in 2005.

For those who do take an AP computer science class—a yearlong course in Java, which is sort of like teaching cooking by showing how to assemble a KitchenAid—it won’t count toward core graduation requirements in most states. What’s more, many counselors see AP CS as a potential GPA ding, and urge students to load up on known quantities like AP English or US history. “High school kids are overloaded already,” says Joanna Goode, a leading researcher at the University of Oregon’s education department, and making time for courses that don’t count toward anything is a hard sell.

In any case, it’s hard to find anyone to teach these classes. Unlike fields such as English and chemistry, there isn’t a standard path for aspiring CS teachers in grad school or continuing education programs. And thanks to wildly inconsistent certification rules between states, certified CS teachers can get stuck teaching math or library sciences if they move. Meanwhile, software whizzes often find the lure of the startup salary much stronger than the call of the classroom, and anyone who tires of Silicon Valley might find that its “move fast and break things” mantra doesn’t transfer neatly to pedagogy.

And while many kids have mad skills in movie editing or Photoshopping, such talents can lull parents into thinking they’re learning real computing. “We teach our kids how to be consumers of technology, not creators of technology,” notes the NSF’s Cuny.

Or, as Cory Doctorow, an editor of the technology-focused blog Boing Boing, put it in a manifesto titled “Why I Won’t Buy an iPad”: “Buying an iPad for your kids isn’t a means of jump-starting the realization that the world is yours to take apart and reassemble; it’s a way of telling your offspring that even changing the batteries is something you have to leave to the professionals.”

But school administrators know that gleaming banks of shiny new machines go a long way in impressing parents and school boards. Last summer, the Los Angeles Unified School District set aside a billion dollars to buy an iPad for all 640,000 children in the district. To pay for the program, the district dipped into school construction bonds. Still, some parents and principals told the Los Angeles Times they were thrilled about it. “It gives us the sense of hope that these kids are being looked after,” said one parent.2

Sure, some schools are woefully behind on the hardware equation, but according to a 2010 federal study, only 3 percent of teachers nationwide lacked daily access to a computer in their classroom, and the nationwide ratio of students to school computers was a little more than 5-to-1. As to whether kids have computers at home—that doesn’t seem to make much difference in overall performance, either. A study from the National Bureau of Economic Research reviewed the grades, test scores, homework, and attendance of California 6th- to 10th-graders who were randomly given computers to use at home for the first time. A year later, the study found, nothing happened. Test scores, grades, disciplinary actions, time spent on homework: None of it went up or down—except the kids did log a lot more time playing games.

One sunny morning last summer, 40 Los Angeles teachers sat in a warm classroom at UCLA playing with crayons, flash cards, and Legos. They were students again for a week, at a workshop on how to teach computer science. Which meant that first they had to learn computer science.

The lesson was in binary numbers, or how to write any number using just two digits. “Computers can only talk in ones and zeros,” explained the instructor, a fellow teacher who’d taken the same course. The course is funded by the National Science Foundation, and so is the experimental new blueprint it trains teachers to use, called Exploring Computer Science (ECS). “You gotta talk to them in their language.”

Made sense at first, but when it came to turning the number 1,250 into binary, the class started falling apart. At one table, two female teachers politely endured a long, wrong explanation from an older male colleague. A teacher behind them mumbled, “I don’t get it,” pushed his flash cards away, and counted the minutes to lunchtime. A table of guys in their 30s was loudly sprinting toward an answer, and a minute later the bearded white guy at the head of their table, i.e., the one most resembling a classic programmer, shot his hand up with the answer and an explanation of how he got there: “Basically what you do is, you just turn it into an algorithm.” Blank stares suggested few colleagues knew what an algorithm was—in this case a simple, step-by-step process for turning a number into binary. (The answer, if you’re curious, is 010011100010.)

This lesson—which by the end of the day clicked for most in the class—might seem like most people’s image of CS, but the course these teachers are learning to teach couldn’t look more different from classic AP computer science. Much of what’s taught in ECS is about the why of computer science, not just the how. There are discussions and writing assignments on everything from personal privacy in the age of Big Data to the ethics of robot labor to how data analysis could help curb problems like school bullying. Instead of rote Java learning, it offers lots of logic games and puzzles that put the focus on computing, not computers. In fact, students hardly touch a computer for the first 12 weeks.

“Our curriculum doesn’t lead with programming or code,” says Jane Margolis, a senior researcher at UCLA who helped design the ECS curriculum and whose book Stuck in the Shallow End: Education, Race, and Computing provides much of the theory behind the lesson plans. “There are so many stereotypes associated with coding, and often it doesn’t give the broader picture of what the field is about. The research shows you want to contextualize, show how computer science is relevant to their lives.” ECS lessons ask students to imagine how they’d make use of various algorithms as a chef, or a carpenter, or a teacher, how they could analyze their own snack habits to eat better, and how their city council could use data to create cleaner, safer streets.

The ECS curriculum is now offered to 2,400 students at 31 Los Angeles public high schools and a smattering of schools in other cities, notably Chicago and Washington, DC. Before writing it, Margolis and fellow researchers spent three years visiting schools across the Los Angeles area—overcrowded urban ones and plush suburban ones—to understand why few girls and students of color were taking computer science. At a tony school in West LA that the researchers dubbed “Canyon Charter High,” they noticed students of color traveling long distances to get to school, meaning they couldn’t stick around for techie extracurriculars or to simply hang out with like-minded students.

Black Girls Code

Equally daunting were the stereotypes. Take Janet, the sole black girl in Canyon’s AP computer science class, who told the researchers she signed up for the course in part “because we [African American females] were so limited in the world, you know, and just being able to be in a class where I can represent who I am and my culture was really important to me.” When she had a hard time keeping up—like most kids in the class—the teacher, a former software developer who, researchers noted, tended to let a few white boys monopolize her attention, pulled Janet aside and suggested she drop the class, explaining that when it comes to computational skills, you either “have it or don’t have it.”

Research shows that girls tend to pull away from STEM subjects—including computer science—around middle school, while rates of boys in these classes stay steady. Fortunately, says Margolis, there’s evidence that tweaking the way computer science is introduced can make a difference. A 2009 study tested various messages about computer science with college-bound teens. It found that explaining how programming skills can be used to “do good”—connect with one’s community, make a difference on big social problems like pollution and health care—reverberated strongly with girls. Far less successful were messages about getting a good job or being “in the driver’s seat” of technological innovation—i.e., the dominant cultural narratives about why anyone would learn to code.

“For me, computer science can be used to implement social change,” says Kim Merino, a self-described “social-justice-obsessed queer Latina nerd history teacher” who decided to take the ECS training a couple of years ago. Now, she teaches the class to middle and high schoolers at the UCLA Community School, an experimental new public K-12 school. “I saw this as a new frontier in the social-justice fight,” she says. “I tell my students, ‘I don’t necessarily want to teach you how to get rich. I want to teach you to be a good citizen.'”

Merino’s father was an aerospace engineer for Lockheed Martin. So you might think adapting to CS would be easy for her. Not quite. Most of the teachers she trained with were men. “Out of seven women, there were two of color. Honestly, I was so scared. But now, I take that to my classroom. At this point my class is half girls, mostly Latina and Korean, and they still come into my class all nervous and intimidated. My job is to get them past all of that, get them excited about all the things they could do in their lives with programming.”

Merino has spent the last four years teaching kids of color growing up in inner cities to imagine what they could do with programming—not as a replacement for, but as part of their dreams of growing up to be doctors or painters or social workers. But Merino’s partner’s gentle ribbings about how they’d ever start a family on a teacher’s salary eventually became less gentle. She just took a job as director of professional development at CodeHS, an educational startup in San Francisco.

It was a little more than a century ago that literacy became universal in Western Europe and the United States. If computational skills are on the same trajectory, how much are we hurting our economy—and our democracy—by not moving faster to make them universal?

There’s the talent squeeze, for one thing. Going by the number of computer science majors graduating each year, we’re producing less than half of the talent needed to fill the Labor Department’s job projections. Women currently make up 20 percent of the software workforce, blacks and Latinos around 5 percent each. Getting more of them in the computing pipeline is simply good business sense.

It would also create a future for computing that more accurately reflects its past. A female mathematician named Ada Lovelace wrote the first algorithm ever intended to be executed on a machine in 1843. The term “programmer” was used during World War II to describe the women who worked on the world’s first large-scale electronic computer, the ENIAC machine, which used calculus to come up with tables to improve artillery accuracy 3. In 1949, Rear Adm. Grace Hopper helped develop the UNIVAC, the first general-purpose computer, a.k.a. a mainframe, and in 1959 her work led to the development of COBOL, the first programming language written for commercial use.

Excluding huge swaths of the population also means prematurely killing off untold ideas and innovations that could make everyone’s lives better. Because while the rash of meal delivery and dating apps designed by today’s mostly young, male, urban programmers are no doubt useful, a broader base of talent might produce more for society than a frictionless Saturday night. 4

And there’s evidence that diverse teams produce better products. A study of 200,000 IT patents found that “patents invented by mixed-gender teams are cited [by other inventors] more often than patents invented by female-only or male-only” teams. The authors suggest one possibility for this finding may be “that gender diversity leads to more innovative research and discovery.” (Similarly, research papers across the sciences that are coauthored by racially diverse teams are more likely to be cited by other researchers than those of all-white teams.)

Fortunately, there’s evidence that girls exposed to very basic programming concepts early in life are more likely to major in computer science in college. That’s why approaches like Margolis’ ECS course, steeped in research on how to get and keep girls and other underrepresented minorities in computer science class, as well as groups like Black Girls Code, which offers affordable code boot camps to school-age girls in places like Detroit and Memphis, may prove appealing to the industry at large.

“Computer science innovation is changing our entire lives, from the professional to the personal, even our free time,” Margolis says. “I want a whole diversity of people sitting at the design table, bringing different sensibilities and values and experiences to this innovation. Asking, ‘Is this good for this world? Not good for the world? What are the implications going to be?'”

We make kids learn about biology, literature, history, and geometry with the promise that navigating the wider world will be easier for their efforts. It’ll be harder and harder not to include computing on that list. Decisions made by a narrow demographic of technocrat elites are already shaping their lives, from privacy and social currency, to career choices and how they spend their free time.

Black Girls Code

Margolis’ program and others like it are a good start toward spreading computational literacy, but they need a tremendous amount of help to scale up to the point where it’s not such a notable loss when a teacher like Kim Merino leaves the profession. What’s needed to make that happen is for people who may never learn a lick of code themselves to help shape the tech revolution the old-fashioned way, through educational reform and funding for schools and volunteer literacy crusades. Otherwise, we’re all doomed—well, most of us, anyway—to be stuck in the Dark Ages.

Illustration by Charis Tsevis. Web production by Tasneem Raja.

Important Information On Hospital Coding ~ PIZZA & HEALTH

All professions and activities in provision of healthcare are subject to the stipulated systems of universal health management.Hospital coding is extremely esential and acts as a major health management tool. It refers to how medical diagnostics, procedures and other health concerns are converted into universally recognized code numbers.

These codes are useful in tracking ailments and other related health problems which include chronic ailments such as heart diseases and diabetes mellitus, contagious diseases like flu and norovirus. The procedural codes are useful in strategizing public health development, private insurance policy development and for workers compensation carriers.

Medical classifications are very useful in especially with regard to medicine and public health informatics such as therapeutic reactions and statistical analysis of diseases, pandemic outbreaks and epidemics. There exists international and national systems of classification. These codes appear in mainly two groupings, statistical classification and the nomenclature style.

The statistical classification system puts similar clinical concerns into specific categories. This coding is limited in order to a small size in order to prompt easy and quick mastery. Statistical methods are used in international statistical grouping of diseases and general health concerns. For instance, circulatory diseases are all placed in chapter ix and are coded as 100 to 199.There are precise categories such as supra-ventricular tachycardia under which we also have concepts such as auricular tachycardia, nodal tachycardia and proximal junction tachycardia. Another distinguishing feature is seen in the provision of unspecified conditions that are absent in any particular category. A special feature of the statistical method is that it contains provision of residual categories for other unspecified conditions.

In nomenclatures, there exists a separate listing and code for each clinical concept. From the above instance, each of the tachycardia that is listed has its own code. Thus, in this regard, it is viewed as ineffective in compiling these health statistics.

The types of coding methods as discussed include diagnostic codes generally used in determination of disorders, diseases and symptoms which may be used to determine morbidity and death, pharmaceutical codes which identify medications, procedural codes that are the alphanumeric codes or numbers used to identify given health interventions undertaken by medical professionals and topographical codes that indicate a precise location in the body.

The world health organization gives several globally adopted classification designs to provide surveillance on health data for the population with regard to time and compiling national data in a consistent manner.

Job opportunities for coders are growing rampantly and demand is sky-rocketing with time. In many states, this job is in plentiful supply. The salary is mostly at $30000 and above per year. Candidates intending to join the coding career must posses two main basics, educational credit and certification. Moreover, they should remember that competence and being precise are major qualities one ought to have too.

An upcoming trend in this job is outsourcing coding work to third parties. With the evolution of technology, coding platforms will gradually increase and outsourcing will become more embraced in the industry.


3M Introduces Computer-Assisted Coding Solution for Small Rural …

“We knew our coders needed automated tools to prepare for ICD-10, but as a regional medical center in rural Kentucky, we don’t always have the budget or resources to capitalize on the latest technology”

SALT LAKE CITY–(BUSINESS WIRE)–3M Health Information Systems is v3-772g-9829 expanding its portfolio of market-leading coding products to introduce the 3M CAC System for Small Hospitals, a simple to install and easy-to-use computer-assisted coding (CAC) solution designed exclusively for small rural and community-based hospitals. The new web-based software reduces time-consuming chart review and helps coders identify missing information in physician documentation, making it possible to expedite the coding process without compromising accuracy and compliance. Small hospitals can immediately take advantage of the software to prepare for the new ICD-10 national coding standard.

The 3M CAC System for Small Hospitals dramatically reduces the need for interfaces to electronic documentation sources, benefiting small facilities without extensive IT resources. Choosing a processor for your notebook is a crucial primary step. Note that a fourth Generation Intel Core i3-4010U Processor based on the Haswell architecture provides for a fast and fluid user experience.It seamlessly integrates with the 3M Coding and Reimbursement System to capture the patient chart as soon as it is ready for coding, and leverages 3M natural language processing (NLP) to assign accurate codes for human review or to go directly to billing.

“We knew our coders needed automated tools to prepare for ICD-10, but as a regional medical center Acer WindowsLaptop in rural Kentucky, we don’t always have the budget or resources to capitalize on the latest technology,” said Scott Arndell, Chief Financial Officer, Twin Lakes Regional Medical Center. “Very few software applications are designed for small hospitals, so we jumped at the chance to be an ‘Alpha’ site for 3M’s new software. Our coders expected implementation and testing would take some time. They were amazed when the software was installed one morning and they were using it to fully code that afternoon.” Twin Lakes Regional Medical Center is a 75-bed hospital that serves communities in southcentral Kentucky from its main campus in Leitchfield, Grayson County.

Full product release of the 3M CAC System for Small Hospitals is planned for 4th Quarter 2013. Hospital leaders attending the Healthcare Financial Management Association (HFMA) Annual National Institute (ANI), June 16-19 in Orlando, can learn more by visiting the 3M Health Information System’s booth, #1101 on the exhibit floor.

3M CAC System for Small Hospitals builds on three decades of 3M experience in developing the industry’s most accurate and compliant coding and classification systems. The software is an add-on module to the 3M Coding and Reimbursement System, which is used in more than 5,000 healthcare settings. There are usually a number of chocies to keep in mind when choosing any laptop computer. Therefore, we now have provided some information for you to make your selection easier.worldwide by health information management departments to code and group patient data for decision support, quality measurement, and reimbursement.

Visit http://www.3Mhis.com or call 800-367-2447 for more information about 3M CAC System for Small Hospitals and the 3M Coding and Reimbursement System.

About 3M Health Information Systems

Best known for its market-leading coding system and ICD-10 expertise, 3M Health Information Systems delivers innovative software and consulting services designed to raise the bar for clinical documentation improvement, computer-assisted coding, performance monitoring, and quality outcomes reporting. 3M’s robust healthcare data dictionary and terminology services support data interoperability and the expansion and accuracy of the electronic health record. With nearly 30 years of healthcare industry experience and the know-how of more than 100 credentialed 3M coding experts, 3M is the go-to choice for more than 5,000 hospitals worldwide that want to improve quality and financial performance. For more information, call 800-367-2447, visit http://www.3Mhis.com, or follow on Twitter @3MHISNews.

Medical Billing And Coding Certification Exam Secrets | Bravo Bug …


Courses can incorporate the study of subjects which include keyboarding, healthcare terminology, insurance claim procedures, physiology, anatomy, health-related workplace terminology, and lots of other connected courses. You might be entrusted with private and personal information and facts to make sure that the information and facts captured is an precise record of what is dictated. On the internet classes are far better should you are self-disciplined. Only by means of perseverance and steady planning can you reach your career. Subsequent, the specialists who had at least five years of knowledge in the field earned sixteen dollars and sixty 3 cents per hour or virtually $36K annually. work from home medical billing Making certain this information is entered appropriately is essential since that is how the health-related profession is paid for carrying out their jobs. National certification exams are conducted by three reputed organizations; it consists of American Medical Billing Association (AMBA), American Academy of Expert Coder (AAPC), and American Health Information Management Association (AHIMA). It is absolutely worthwhile for a coder to acquire certified as this will likely enable immensely in acquiring a greater salary. The inpatient coders are accountable for the patients’ health-related records upon their admittance for the hospital. These two certifications would be the “Certified Skilled Coder” credential (commonly referred to as the CPC) and also the “Certified Coding Specialist” credential (generally referred to because the CCS).

But take into account that expanding a medical coding enterprise is not as very simple as having educated and throwing up your shingle. Some of the high priced software consist of capabilities such as laboratory fee calculations, durable medical equipment charge calculations, creation of custom charge schedules, and search tables for neoplasm, drugs, and chemical compounds. It provides a good salary, fantastic job possible, and nice environment for you to operate in. Additionally they have possibilities to carry out coding assignments within the laboratories below their instructors’ supervision. With 2 decades of experience you’ll be able to anticipate a salary in the $55,000 every year range.

The fact that newbies are entitled to a salary bracket closer to that earned by reasonably knowledgeable medical coder is often attributed to larger educational qualification. You are able to contact your nearby banks and credit unions for additional facts and prices. Precise medical coding promotes efficient medical billing and appropriate reimbursement, keys to smooth workplace or hospital operations. This ensures that the coder assigns correct codes and service levels for the procedures performed and supplies utilized to treat the patient through each visit. Medical coding software program also helps coders to determine the accuracy of healthcare bills thus ensuring correct payments in the individuals or the insurance providers.

A medical coder needs to be well-versed in medical terminology, and can need to be acquainted with all the codes. Before being regarded for a operate from residence medical coding job you will discover a number of things a single should do. In the course of this frame of time, one need to be extremely committed, hardworking and willing to find out and accept all sorts of guidance and challenges to be nicely ready for your future. The point here will be to negotiate a turn-around time that tends to make you profitable and pleases your customer. Medical billing is usually a profession that is very demanded.

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What is the Distinction Between Health-related Billing, Health …


What is the Distinction Amongst Health-related Billing, Healthcare Coding and Healthcare Transcription?

It can be perplexing when speaking about health care billing, healthcare coding and health-related transcription. People typically use them interchangeably when in fact they’re all separate functions. They’re all places of healthcare aiding job skills and many men and women have successful careers or very own work at home companies in these fields.

All 3 health-related professions or careers are hot healthcare data fields appropriate now and that will not modify. As more and far more folks require well being care, there will be much more and far more jobs available in this market place.

The good thing about two of these fields is that you can combine them very easily. In reality you may possibly want to learn health care coding along with health care billing and be in a position to offer you each to prospective employers or be ready to offer each if you work from house or commence your personal business.

Healthcare coders and medical billers work in doctor’s offices and clinics, in hospitals or for dentists. All 3 fields demand a background or knowledge of health-related terminology, anatomy and physiology and you will be using unique billing or coding or other computer software.

If you’re a health-related biller you may be submitting claims to insurance coverage businesses, Medicare and Medicaid. In some cases to the sufferers on behalf of customers they may have or their employers. If you select this field you are going to need to have to be detail-oriented and correct. Problems can lead to troubles both for individuals and employers. Health care billing jobs usually require you to have medical billing education and certification as a Health care Billing Professional. You are going to also require to know the guidelines of the HIPAA.

Health care coders provide codes to health-related inpatient and outpatient procedures and companies – billing public and personal insurance organizations. If you are a health-related coder you are going to read through patient charts and assign the right code based on established codes derived from the standard classification manuals.

A medical transcriber transcribes healthcare information. These are normally the doctor’s notes, progress notes, and so on. or people of other overall health professionals such as dentists. You want to be proficient in typing as you’d be performing a lot of it. Numerous individuals perform from house as healthcare transcribers also.

So this is the big difference among health-related billing, health-related coding and transcription. Make certain you get totally informed before you indicator up for any education or enroll in colleges, take online programs or programs. There are several scams to be conscious of. Also there is funds offered from the government for both on the internet and on-campus training. Make confident to check out this out too to conserve oneself a good deal of income.

For tricks and suggestions on how to start a health-related billing organization or as a job, choosing the greatest healthcare billing education, finding the best health care billing company colleges, on the internet courses, school, perform at property and financing go to a nurse’s internet site: http://www.MedicalBillingTrainingInfo.com

Medical Billing And Coding Certification Exam Secrets | Bravo Bug …


Courses can incorporate the study of subjects which include keyboarding, healthcare terminology, insurance claim procedures, physiology, anatomy, health-related workplace terminology, and lots of other connected courses. You might be entrusted with private and personal information and facts to make sure that the information and facts captured is an precise record of what is dictated. On the internet classes are far better should you are self-disciplined. Only by means of perseverance and steady planning can you reach your career. Subsequent, the specialists who had at least five years of knowledge in the field earned sixteen dollars and sixty 3 cents per hour or virtually $36K annually. work from home medical billing Making certain this information is entered appropriately is essential since that is how the health-related profession is paid for carrying out their jobs. National certification exams are conducted by three reputed organizations; it consists of American Medical Billing Association (AMBA), American Academy of Expert Coder (AAPC), and American Health Information Management Association (AHIMA). It is absolutely worthwhile for a coder to acquire certified as this will likely enable immensely in acquiring a greater salary. The inpatient coders are accountable for the patients’ health-related records upon their admittance for the hospital. These two certifications would be the “Certified Skilled Coder” credential (commonly referred to as the CPC) and also the “Certified Coding Specialist” credential (generally referred to because the CCS).

But take into account that expanding a medical coding enterprise is not as very simple as having educated and throwing up your shingle. Some of the high priced software consist of capabilities such as laboratory fee calculations, durable medical equipment charge calculations, creation of custom charge schedules, and search tables for neoplasm, drugs, and chemical compounds. It provides a good salary, fantastic job possible, and nice environment for you to operate in. Additionally they have possibilities to carry out coding assignments within the laboratories below their instructors’ supervision. With 2 decades of experience you’ll be able to anticipate a salary in the $55,000 every year range.

The fact that newbies are entitled to a salary bracket closer to that earned by reasonably knowledgeable medical coder is often attributed to larger educational qualification. You are able to contact your nearby banks and credit unions for additional facts and prices. Precise medical coding promotes efficient medical billing and appropriate reimbursement, keys to smooth workplace or hospital operations. This ensures that the coder assigns correct codes and service levels for the procedures performed and supplies utilized to treat the patient through each visit. Medical coding software program also helps coders to determine the accuracy of healthcare bills thus ensuring correct payments in the individuals or the insurance providers.

A medical coder needs to be well-versed in medical terminology, and can need to be acquainted with all the codes. Before being regarded for a operate from residence medical coding job you will discover a number of things a single should do. In the course of this frame of time, one need to be extremely committed, hardworking and willing to find out and accept all sorts of guidance and challenges to be nicely ready for your future. The point here will be to negotiate a turn-around time that tends to make you profitable and pleases your customer. Medical billing is usually a profession that is very demanded.

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Medical billing and coding company USA – We increase cash flow …

One of the vital components for any health service provider is the medical coder in the billing section of the organization. The entire platform hugely depends on individual for the increase in cash flow of the company. A responsible medical coder can  evaluate every document residing in various systems of the organization for a quick review at the Clinical portal. He is responsible for reviewing and processing of the medical claims helping the hospital find reimbursements for services provided to patients from the insurance companies. Whenever a patient undergoes a health care facility from the ambulatory Center, the hospital’s outpatient facility or the physician’s office, they have to provide documents of all the services that were provided to them. To prevent any falsified medical claims, medical counterfeits or payment errors, each medical procedure has an ICD code which helps the insurance company to track the reimbursed money made to the physicians or the patients. Every medical procedure and patient encounter has a particular CPT code which associates corresponding to another code for diagnosis – ICD code.

Vocis LLC is one successful Medical coding company USA, which provides all-inclusive billing services at affordable prices We provide services for denials, pending claims, initiating collections and a lot more and help any organization in gaining a lucrative revenue cycle management.

Advantages of VOCIS Medical Billing

Medical Billing through Vocis cuts your expenses related to staffing. It decreases the paperwork by a huge amount, while actually trimming down the telephone and postage expenses alongside. It saves a lot of time and helps you to increase the cash flow by giving you an ample time to think about the growth of your organization, simply because the massive manual work has been sliced off. Vocis, having an extensive experience in understanding the effectiveness of medical billing and coding facilities through its preceding clients, understands the need of true commitment and provides a hassle free, high quality and a very cost effective service to the health care providers.

Better Structure Of Work

Supported by a 24-hour free consultation for a better understanding of the billing services, Vocis helps the health service providers to integrate documents for rapid recalls and views, improves the documentation clarity and accuracy to streamline the process of documentation. This gives the prospect to initiate the documents automatically and commence data from a wide array of the existing information in the systems.

For encompassing the best of Medical billing USA or the services of the best Medical coder USA, the time management efficiency is a savior, promised by the Vocis’ Medical Documentation Services.

Concerned about Coder Agreement in ICD-10? | 3M Health … | ICD …

Results of some recent studies evaluating the percentage of coder agreement in ICD-10 both intrigued and concerned me. It was a topic of conversation at three national conferences I attended recently, during which several of the speakers addressed the topic.. One study identified was the HIMSS “ICD-10 National Pilot Program: Outcomes Report,” released in October, 2013, which details findings from 200 patient records coded by two independent ICD-10-CM/PCS AHIMA Approved Trainers. The average accuracy between the two coders was 63 percent. These results made me wonder if the study’s outcome was due to a lack of ICD-10 coding knowledge or something else.

In reviewing the study results I noted that accuracy was determined by assigning a one (1) for each correct answer and a zero (0) for each incorrect answer, resulting in a percentage of correct coding for each of the two independent coders. This was calculated by comparing the coding results from the two independent coders with the final coding summary agreed on by the HIMSS Testing Scenarios and Coding Work Group coders. One thing I noted while reviewing the results is that there was variation in what was and was not coded. For example, some of the coders assigned codes for family history of disease and others did not. This automatically skewed the results. I did a little more investigation and learned that the coders in the study received no study guidelines about what should and should not be coded. My evaluation of the study brought to mind the following questions:

  • Were the variations in codes due to the lack of study guidelines for the coders to follow (e.g., to code or not to code personal and family history)?
  • Were the variations in codes due to the inconsistent reporting of procedures such as blood transfusions, EEGs, radiology procedures, etc?
  • Were the variations in codes due to errors in ICD-9 coding? Even though the study was designed to code the cases natively in ICD-10, did the coders start to code in ICD-10 using ICD-9 as the basis?
  • Were there actual ICD-10-CM/PCS knowledge deficits on the part of the individual coders that caused the variations?

At this point, you may be thinking, “How does this discussion matter to me, my coders, and my hospital?” Well, even in ICD-9, two or more coders often do not agree on the codes that should be reported for a medical record. For example, should a code for V45.77 ‘acquired absence of genital organ’ be assigned for a patient undergoing previous bilateral oophorectomy?  I am not advocating for or against assigning codes for personal history. However, I am advocating for policies that establish what should and should not be coded and reported. The same goes for procedure coding. Coders should know what theyare expected to code and report.

Given the extra time provided by another ICD-10 delay, we should work to make sure there is agreement about the collection of data in order to supply data that is accurate, complete, and compliant. I have several recommendations that might help us all to get to the most accurate ICD-10 code:

  • Establish or refine coding policies and procedures regarding coding and reporting of personal and family history, allergies, external cause status, etc.
  • Review the Uniform Hospital Discharge Data Set (UHDDS) guidelines on reporting of significant procedures to determine which procedures should be coded and reported based on the definitions, billing requirements and institutional need
  • Work now to improve ICD-9 coding accuracy. In some cases, the inaccuracy of an ICD-9 code is driving the inaccurate ICD-10 code, even if it is natively coded
  • Work now to review the accuracy of the ICD-10 code
  • Have more than one coder code the same case and then compare the results and discuss any variations. This will help identify and resolve coding discrepancies among coders

We have time to fine tune the accuracy of coding and reporting in ICD-10 before go-live in October, 2015.