ICD-10 Assessment: Clinical Documentation Evaluation
Documentation will become critical
After thousands of ICD-10 assessments, we’ve noticed that only 63% of today’s documentation is ready for the transition. This confirms that one of the largest problems following the October 1, 2015 implementation date will be insufficient documentation to support the specificity required for the new ICD-10 code sets. We are concerned this has been forgotten among the other education, training, and implementation objectives. If the office is fully prepared for ICD-10, but clinical documentation has not improved, accurate coding and proper payment will not be possible. We believe a behavioral change in documentation habits for most providers will be necessary—and now is the time to start preparing.
An ICD-10 assessment will:
- Evaluate your current documentation in preparation for ICD-10.
- Identify the deficiencies and education needed to improve.
- Avoid denied or un-billable claims and reduce the risk of interruption in revenue.
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