Physicians Practice: Improve Clinical Documentation for ICD-10

With less than a year left before the “go-live” date for ICD-10, industry focus is turning more and more to clinical documentation improvement (CDI), as it will be even more vital to every facility. AAPC’s VP of ICD-10 Education and Training, Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC, recently penned an article for Physicians Practice, in which she expounded on clinical documentation improvement (CDI) needs in preparation for ICD-10. She also offered the basics of how to conduct a readiness assessment.

“A recent study of more than 20,000 audits of physicians’ clinical documentation revealed that only 63 percent of current documentation is sufficient for ICD-10’s specificity levels,” she warned. “Keep in mind, the insufficient documentation found in these audits often represented a larger percentage of at-risk revenue.”

Read the full article.

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