Sustaining Coding Success in an ICD-10 World





The impact of the upcoming ICD-10-CM/PCS coding revisions reaches beyond the coding arena and well into a healthcare provider’s revenue cycle. From pre-authorization and medical necessity to clinical documentation improvement, billing and reimbursement, ICD-10 pressure points can significantly impact clinical and business processes in your organization.

Geoff New, Conifer Health’s Vice President of Clinical Revenue Integrity Services, says “the new level of coding granularity and specificity is vital to ensuring accurate reimbursement is obtained for the care that is performed. With more than 5,000 ICD-10 code revisions coming in 2017, 97 percent of which relate to the cardiovascular system, no coding guidelines can be ignored.”

New urges providers to “update their coding educational material and include practice time for coding case scenarios.” One way to stay up-to-date with new guidelines and regulations is to attend state and national coding educational events, conducted by organizations such as AHIMA, AAPC or AMA. Continuous education of your HIM operations staff, coders and clinical documentation specialists is key to ensuring coding and documentation accuracy and optimized reimbursement. “Also, plan for audits and assessments of coding accuracy through the remainder of 2016 and into 2017,” New advises.

Conifer Health’s coding and patient financial services help providers deliver better care through a more efficient revenue cycle and high-quality, accurate coding. Find out how our AHIMA- and AAPC- certified trainers and credentialed HIM consultants, combined with peer-to-peer training and education, help foster an environment of continuous improvement and best practices.