Originally Posted by DocGene
Hello everyone,

Does anyone have any insight as to how Amazing Charts will be handling this?

First, we will have to find the new codes. I am aware that there is no direct conversion from ICD 9 to ICD 10, but I'm wondering whether AC will give suggestions based on current ICD 9 codes, or whether we will just be starting totally from scratch? I'm not particularly impressed by the current ability of AC to find ICD 9 codes, I hope ICD 10 will be easier.

Second, at a seminar on ICD 10, the presenter indicated that our notes must justify every detail of the diagnosis. All 7 places of it. For a new problem, or a problem being addressed specifically at that visit, I don't think this would be a major concern. But in an older patient with multiple problems, I think it will be burdensome to provide this much documentation for every problem being listed.
Gene

My experience with AC codes is somewhat different than yours. It may be due to using a later version (I am on 8.0.2). When you type in a diagnosis, it will give you multiple choices, some with the same ICD code based on what you type. This has already been cross-walked to ICD10, so when you flip over it will give the new codes. The incomplete codes are yellow and the complete ones green, just as before.

As to having all of your areas support your diagnosis. That is true currently. All of your information should be consistent with your current diagnosis. You can't say TM's clear and dx of otitis media. It helps to have that there was ear pain on HPI and ROS

@Koby That's the whole point - "JUSTIFIABLE" DENIAL (of claims). Who really cares about ICD10, does it help make diagnosis easier or change the course of medical care? NO! It's about making it easier to deny claims. Are the actuarials going to find a new world with ICD10, and discover new issues that didn't exist? Again NO! So why are we changing ??????????? (see first sentence of paragraph)


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them