Health Information Management

Tip: Assess current documentation before discussing ICD-10 with physicians

APCs Insider, January 4, 2013

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Avoid taking too broad an approach when discussing ICD-10 documentation requirements with physicians. Instead, assess the current landscape of your physicians’ documentation.

Physicians may already be providing the information coders will need to properly code in ICD-10. That means there's no need to bring up documentation with physicians unless it's lacking. If providers already document laterality, for example, don't discuss it with them.
 
Identify which providers need education and determine exactly what they need to do differently. Drill down to what they care about.
 
The tip is adapted from “Begin teaching providers to speak ICD-10” in the January Briefings on APCs.



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