I forecast that using ICD-10 codes with the way the physicians currently document is going to even worse than with the ICD-9 codes. Why? Because most physicians don't document adequately now. If ICD-10 is going to demand more specificity, then the documentation should provide more specific information. I don't know if there's going to be an answer, other than until their documentation starts to have a major impact upon their provider reimbursement, things are not going to change.
Everyone thought that EMR's were going to be helpful. For the most part, that's a joke. The EMR's are generally not kept up to date or there's no documentation that the PFSH, meds, etc. were reviewed on the current encounter from the last time the patient was seen.
If anyone has an idea of how to help the physician's documentation improvement, please let me know.
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