ICD-10 requires substantially more documentation in the medical record than ICD-9, and creating this documentation can be a headache for busy physicians and for the coding staffs who struggle to generate codes when they have a paucity of information to work with. One strategy healthcare systems have embraced to ease the burden of physician…
With the introduction of ICD-10 on Oct. 1, there are now 132,500 new codes and new ways for healthcare organizations to be paid less based upon inadequate documentation or, worse, documentation that does not support the services rendered.
With the recent implementation of ICD-10, part two of our series explores some ‘best practice’ clinical documentation initiatives (CDI) that are rapidly spreading throughout the country to better understand what you must do to survive and even thrive in this major systemic change.
The ICD-10 code set for reporting diagnoses and procedures to payers consists of 132,500 codes compared with 16,800 in ICD-9 set.