COMPARISON OF ICD-9-CM TO ICD-10-CM CROSSWALKS DERIVED BY PHYSICIAN AND CLINICAL CODER VS. AUTOMATED METHODS.

Purpose: To evaluate whether automated methods are sufficient for deriving ICD-10-CM algorithms by comparing ICD-9-CM to ICD-10-CM crosswalks from general equivalence mappings (GEMs) with physician/clinical coder-derived crosswalks. Patients and methods: Forward mapping was used to derive ICD-10-CM...

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Publicado en:Perspectives in Health Information Management pp. 1 - 9
Autores principales: Simeone, Jason C., Xinyue Liu, Bhagnani, Tarun, Reynolds, Matthew W., Collins, Jenna, Bortnichak, Edward A.
Formato: research Journal Article
Publicado: American Health Information Management Association Spring2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2021
      pid: 6825
      pub: American Health Information Management Association
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        atl: COMPARISON OF ICD-9-CM TO ICD-10-CM CROSSWALKS DERIVED BY PHYSICIAN AND CLINICAL CODER VS. AUTOMATED METHODS.
      aug:
        au:
          Simeone, Jason C.
          Xinyue Liu
          Bhagnani, Tarun
          Reynolds, Matthew W.
          Collins, Jenna
          Bortnichak, Edward A.
        affil: Senior research scientist and director of US database analytics, Evidera, Waltham, MA
      sug:
        subj:
          International Classification of Diseases
          Coding, Computer-Assisted Methods
          Algorithms
          Automation
          Physicians
          Certified Coding Specialists
          Comparative Studies
          Models, Statistical
          Sensitivity and Specificity
          Peripheral Vascular Diseases
          Cognition Disorders
          Heart Failure
          Diabetic Neuropathies
          Questionnaires
          Hypertension
          Decision Making
      ab: Purpose: To evaluate whether automated methods are sufficient for deriving ICD-10-CM algorithms by comparing ICD-9-CM to ICD-10-CM crosswalks from general equivalence mappings (GEMs) with physician/clinical coder-derived crosswalks. Patients and methods: Forward mapping was used to derive ICD-10-CM crosswalks for 10 conditions. As a sensitivity analysis, forward-backward mapping (FBM) was also conducted for three clinical conditions. The physician/coder independently developed crosswalks for the same conditions. Differences between the crosswalks were summarized using the Jaccard similarity coefficient (JSC). Results: Physician/coder crosswalks were typically far more inclusive than GEMs crosswalks. Crosswalks for peripheral artery disease were most dissimilar (JSC: 0.06), while crosswalks for mild cognitive impairment (JSC: 1) and congestive heart failure (0.85) were most similar. FBM added ICD-10-CM codes for all three conditions but did not consistently increase similarity between crosswalks. Conclusion: The GEMs and physician/coder algorithms rarely aligned fully; human review is still required for ICD-9-CM to ICD-10-CM crosswalk development.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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