The document summarizes a speech about the transition from ICD-9 to ICD-10 diagnostic codes. It begins with an introduction that explains ICD codes are used by doctors and insurance companies. The main points are: (1) ICD-10 was adopted in October 2015 and implements more specific classifications than ICD-9; and (2) the transition impacts healthcare providers through increased costs and workload, while insurance companies and patients may see more accurate reimbursements but also more rejected claims initially. In conclusion, the impacts are mixed but preparation is key to success with ICD-10.

1. Round 3 Full Sentence Speech Outline
Newly Adopted Health Diagnostic Codes ICD-10
Jane Qin
October 2015
I. Introduction:
A. Attention Getter: Have you ever thought about how your health diagnosis is recorded and
documented in the national health-care system by your doctors? You may also wonder
how insurance companies analyze your diagnostic results and decide whether or not to
accept your request for clinical payments refund. (AA) Probably some of you are thinking
that the answer is obvious: just type in the full descriptions and that’s all set! If so, you
will leave the computers having no idea about how to deal with those complicated
sentences, since they are not as smart as you guys! (AA) The International Classification
of Diseases known as ICD is created to make it possible for computers to record and
analyze different diseases and the tenth version ICD-10 was just adopted in this October.
B. Benefits to Audience: I believe that you will be interested in this speech because the
transition from ICD-9 to ICD-10 has a direct influence on your future health-care records
and insurance reimbursements (AA). ICD-10, which I will talk about today, will embrace
more specific and accurate classifications that define your diseases and injuries, as a result,
your health insurance claims will be affected (AA).
C. Thesis: Today, I would like to talk about the newest version of health diagnosis codes
called ICD-10, which was just adopted on October 1st
, 2015.
D. Preview: In the speech, we will first talk about what ICD-10 is as well as the reason why
it was adopted, and then the potential and further effect of the transition from ICD-9 to
ICD-10 on health-care providers, insurers and us patients (AA).
Transition: First, I'm going to explain what ICD-10 is and its difference from previous version
ICD-9.
II. Main Point 1: The newest version of health diagnostic codes ICD-10 was just adopted on
October 1st
, 2015.
A. First, let’s clarify the definition of ICD-10.
1. ICD, which stands for International Classification of Diseases, is a set of codes
consisting of alphabets and numbers which are used to classify diseases and injuries
and record diagnostic results as well as treatment methods for future analysis and
insurance billing. ICD-10 is the tenth version. (DEF)
B. Second, let me briefly introduce how ICD-10 works.
1. For example, in a hospital, doctors are responsible for recording detailed
information about patients’ diagnosis and IT staff will take care of translating all

2. the records into standardized codes which computer software can recognize.
(EX)
C. ICD-10 has been published for about 16 years and used worldwide but was finally adopted
by the United States recently in this October.
1. According to a September article on Foot & Ankle International, ICD-10 has been
adopted by 117 countries with 43 different languages since it was modified from
ICD-9 by World Health Organization (WHO) 16 years ago. (ST)
2. It is also mentioned in the above article that before the final settlement in this
October, the new codes were held back twice in 2013 and 2014 respectively due to
technical drawbacks and groups interruption.
D. Compared to the previous version ICD-9, ICD-10 implements more features and specific
and accurate classifications as well as more codes being used.
1. In the September article on Foot & Ankle International, it is introduced that the
maximum length of a code changed from 5 characters used in ICD-9 to 7 characters
in ICD-10. (ST)
a. One code is used to record one diagnosis. In ICD-10, the first 3 characters
stands for disease categories and the remaining four characters represent the
location, severity and even more detailed information of diseases. (DEF)
b. For instance, the codes for injuries to the knee and lower leg start with the first
three characters from S80 to S89, said in the article mentioned above. (EX)
2. Furthermore, the article also told us that the classification of diseases and injuries
is more detailed than before. For example, if there is a fracture on your arm, in
ICD-10, which bone is broken should be recorded which is not necessary in ICD-
9. (EX)
3. According to a July-August 2015 article on Journal of Health Care Compliance,
the number of codes increased from about 17,000 in ICD-9 to approximately
144,000 in ICD-10. (ST)
Transition: Now, we are clear about what ICD-10 is, so I am going to discuss the effect of these
newly implemented codes.
III. Main Point 2: The existence of ICD-10 imposes significant impact not only on health-care
providers but also on insurance companies and individual patients.
A. Both positive and negative effects will be likely happen to health-care providers such as
hospitals.
1. In the article on Foot & Ankle International, September 2015, it is mentioned that
because of the diversity and accuracy of classification of diseases, more specific
details about diagnosis are able to be documented which will assist further
academic researches.
2. However, more specification is needed, more cost of money and time will be
unavoidable. The article points out that staff in health-care system will ask for
more rewards due to significant increase in work load which is the result of ICD-
10 implement.
a. It is mentioned in an article on Journal Health Care Compliance in July-August
2015 that employees in the health-care organizations have to be trained specially
in order to meet the ICD-10 recording and coding requirements.

3. b. For example, doctors have to learn to document more detailed information about
patients to make sure that IT staff are able to code in the right way, said in an article
on Optometry Times in summer 2015 by Mary Pat Johnson, who is a certified
Professional Medical Auditor (CPMA) and a Certified Professional Coder (CPC)
as well as a Certified Ophthalmic Executive (COE) and Certified Ophthalmic
Medical Technologist (COMT). (EX) (ET)
B. Insurance companies and individual patients will also be affected by the implement of
ICD-10.
1. The article on Journal Health Care Compliance in July-August 2015 points out
that theoretically, since coding becomes more specific, less mistakes and
ambiguities will happen and more adequate reimbursements are able to be issued.
2. However, it is also mentioned in the article that rejected claims will also be likely
to increase since it is rather difficult to code accurately enough to meet ICD-10
requirements especially at the beginning of the implement. As a result, patients’
benefit will be affected.
Transition: In conclusion,
IV. Conclusion:
A. Review: In my speech today, I talked about the newly adopted codes for health diagnosis
ICD-10 in this October. First, I introduced the definition as well as the improvement from
previous version ICD-9. Then, I discussed the effect both on health-care providers such as
hospitals and insurance companies as well as individual patients.
B. Final Thought: As is known to all, “Every coin has two sides.” It is hard to decide whether
it was correct or not to implement this new coding standard. But just as Mary Pat Johnson
said in the article on Optometry Times summer 2015, “Documentation and Preparation are
keys to success!” (ET)
References

4. 1. Johnson, M. P. (2015). How staff can prep for ICD-10. Optometry Times, 9-10.
2. CENTAFONT, D. (2015). Is Your Organization Ready for the Shift from ICD-9
to ICD-10? Journal of Health Care Compliance, 17(4), 29-53.
3. Gonzalez T, Chiodo C. ICD 10. Foot & Ankle International [serial online].
September 2015; 36(9):1110-1116. Available from: SPORTDiscus, Ipswich, MA.
Accessed October 20, 2015.