These coding systems include diagnosis and service coding
syntax that provides common language and a useful template
to enable payment and research data management mechanisms
within IM. As such, use of these standard coding elements
could allow an IM model to facilitate and track referrals
between traditional medical care providers and other
CAM practitioners to ensure an understanding and shared
use of common clinical descriptions of diagnoses and services
rendered. Acceptance of coding systems and definition of
terms within the coding system could support the continued
development of understanding and common clinical descriptors
across all practitioners within IM and the broader healthcare
system. Applying the current payment and practice models,
with the goal of highest quality patient-centered
healthcare, would allow for systems of reimbursement to be
implemented that provide for fiscal equity across integrative
models. These payment systems would result in reimbursement
rationales that value those practitioners who demonstrate
the highest levels of competence for the given service,
the appropriate choice of evidence-based or evidence-influenced
practices, and the best outcomes in terms of quality of
life, decreased complication rates, and costs. Common coding
systems provide an infrastructure for systematizing communications
within quality management systems that support
the delivery of the healthcare service.
FUTURE
These coding systems include diagnosis and service codingsyntax that provides common language and a useful templateto enable payment and research data management mechanismswithin IM. As such, use of these standard coding elementscould allow an IM model to facilitate and track referralsbetween traditional medical care providers and otherCAM practitioners to ensure an understanding and shareduse of common clinical descriptions of diagnoses and servicesrendered. Acceptance of coding systems and definition ofterms within the coding system could support the continueddevelopment of understanding and common clinical descriptorsacross all practitioners within IM and the broader healthcaresystem. Applying the current payment and practice models,with the goal of highest quality patient-centeredhealthcare, would allow for systems of reimbursement to beimplemented that provide for fiscal equity across integrativemodels. These payment systems would result in reimbursementrationales that value those practitioners who demonstratethe highest levels of competence for the given service,the appropriate choice of evidence-based or evidence-influencedpractices, and the best outcomes in terms of quality oflife, decreased complication rates, and costs. Common codingsystems provide an infrastructure for systematizing communicationswithin quality management systems that supportthe delivery of the healthcare service.ในอนาคต
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