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从新手到专家:ICD-10-PCS 程序编码中的问题解决

From novice to expert: problem solving in ICD-10-PCS procedural coding.

作者信息

Rousse Justin Thomas

机构信息

Health Information Systems Department, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia.

出版信息

Perspect Health Inf Manag. 2013 Jul 1;10(Summer):1d. Print 2013.

Abstract

The benefits of converting to ICD-10-CM/PCS have been well documented in recent years. One of the greatest challenges in the conversion, however, is how to train the workforce in the code sets. The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) has been described as a language requiring higher-level reasoning skills because of the system's increased granularity. Training and problem-solving strategies required for correct procedural coding are unclear. The objective of this article is to propose that the acquisition of rule-based logic will need to be augmented with self-evaluative and critical thinking. Awareness of how this process works is helpful for established coders as well as for a new generation of coders who will master the complexities of the system.

摘要

近年来,转换至ICD - 10 - CM/PCS的益处已有充分记载。然而,转换过程中最大的挑战之一是如何对工作人员进行编码集培训。国际疾病分类第十次修订本手术操作编码系统(ICD - 10 - PCS)被描述为一种需要更高层次推理技能的语言,因为该系统的粒度有所增加。正确的手术操作编码所需的培训和解决问题的策略尚不清楚。本文的目的是提出,基于规则的逻辑的习得需要通过自我评估和批判性思维加以强化。了解这一过程如何运作,对经验丰富的编码人员以及将掌握该系统复杂性的新一代编码人员都有帮助。

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