In 2014, the U.S. Department of Health and Human Services (HHS) issued a rule finalizing October 1, 2015 as the compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10.
We will continue to work to help ensure that our systems, supporting business processes, policies and procedures successfully meet the implementation standards and deadlines without interruption to day-to-day business practices. We will be capable of accepting and processing ICD-10 diagnosis and inpatient procedure codes on the mandated compliance date.
ICD-10 Topic: Clinical Documentation Improvement
Now is the time to focus on clinical documentation improvement (CDI). ICD-10 offers greater specificity than ICD-9, allowing documentation to be translated into an accurate and clear clinical picture. One of the best ways to prepare for the upcoming ICD-10 deadline is by improving your clinical documentation now. Failing to prepare for ICD-10 documentation requirements could impact your revenue. Missing information may prevent claims from even being submitted. Taking steps now to improve your clinical documentation will be foundational in helping your practice experience fewer delays and denials.
The benefits of more complete documentation of the clinical encounter can 1) enhance the accuracy of your billing; 2) support the practice during payment audits; and 3) improve transitions of care for your patients by giving downstream providers a more complete record.
Here are resources to help guide you in your efforts to improve clinical documentation.
CMS and AHIMA: ICD-10 Clinical Documentation Improvement Webinar
CMS recently collaborated with AHIMA to present a webinar on clinical documentation improvement. Watch the recording to learn about why detailed clinical documentation is important for the ICD-10 transition and steps for training your staff. To access the recording, please register for the webinar on the AHIMA webpage
(originally presented 12/10/2014). A PDF of this presentation is available here
ICD-10 Documentation Tips (by AHIMA)
The AHIMA CDI Workgroup has responded to the needs of ICD-10 implementation by creating a large library of CDI ICD-10 documentation tips that are now available for the healthcare industry. These tips focus on the language and/or wording that will garnish greater details and specificity of the coded data for a given diagnosis, condition, disease and/or surgical procedure.
CMS: ICD-10 and Clinical Documentation Video (by Medscape)
Access this Medscape Education video that provides guidance around the transition to ICD-10. Continuing medical education (CME) and nursing continuing education (CE) credits are available to health care professionals who complete the learning module, but anyone can take them and earn a certificate of completion. If you are a first-time visitor to Medscape, you will need to create a free account to access these resources.
ICD-10 FAQs for Providers
This FAQ contains educational information about ICD-10, as well as answers to questions about our ICD-10 implementation
Key Project Information
We have made several key decisions that will guide our implementation strategy and will be useful as you plan your transition to ICD-10.
ICD-10 Claims Processing