ICD-10 Updates & Review: Changes Ahead, Webinar Tomorrow!
Ensure timely validation and training for ICD-10-CM/PCS updates. Prepare for the end of the code freeze with upcoming code changes. The grace period is ending soon, so conduct internal/external audits and monitor denial trends. Develop a query process policy and consider using query templates. CMS guidance highlights the importance of using unspecified codes when necessary.
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Presentation Transcript
ICD-10 UPDATES & REVIEW
ICD-10-CM/PCS CHANGES AHEAD! Ensure you validate when updates will be available for your encoders/software systems. Be sure you have ordered 2017 Code Books Ensure all coders received ICD-10-CM/PCS update training Validate and monitor LCDs/NCDs
TOMORROW! Webinar discussing the 2017 Code Changes Preparing for the End of the Code Freeze Thursday, September 29th@ 11:00 a.m. Eastern
GRACE PERIOD ENDS IN 2 DAYS Internal/external code audits Weekly denial trend report, by payer and denial reason Physician queries
ICD-10 QUERY TEMPLATES HCCS ICD-10 query templates Library of approximately 40 templates $500 Contact: jecronin@hccscoding.com
QUERIES Develop a policy and procedure for your query process that determines: Will the query be a part of the permanent health record? Will the providers document on the query form, or will they be asked to document within the progress notes or as an addendum to the discharge summary? In deciding, determine if you would want to submit the query document to an auditor?
UNSPECIFIED CODES CMS Guidance regarding unspecified codes: While you should report specific diagnosis codes when they are supported by the available medical record documentation and clinical knowledge of the patient s health condition, in some instances signs/symptoms or unspecified codes are the best choice to accurately reflect the health care encounter. You should code each health care encounter to the level of certainty known for that encounter. If a definitive diagnosis has not been established by the end of the encounter, it is appropriate to report codes for sign(s) and/or symptom(s) in lieu of a definitive diagnosis.
