Document Type
Report
Publication Date
1-25-2002
Abstract
This background paper reviews the two principal coding systems used to describe health services in the United States: ICD-9-CM and HCPCS, a combination of CPT-4 and national and local codes. It probes the relationships of these coding systems to payment policy, administrative simplification under HIPAA, and other concerns. The paper also addresses four coding issues: governance of CPT; adoption of ICD-10-CM; the appropriateness, accuracy, and responsiveness to change of the codes themselves; and the degree of documentation needed to monitor health services and determine payment.
Recommended Citation
Matherlee, Karen, "From Diagnosis to Payment: The Dynamics of Coding Systems for Hospital, Physician, and Other Health Services" (2002). National Health Policy Forum. Paper 88.
https://hsrc.himmelfarb.gwu.edu/sphhs_centers_nhpf/88
Open Access
yes
Included in
Community Health and Preventive Medicine Commons, Health and Medical Administration Commons, Health Law and Policy Commons, Health Services Administration Commons, Health Services Research Commons