decisionhealth Newsletters, Part B News - 2016 Issue 9 (September)
ICD-10 – How to ensure proper diagnosis coding as grace period ends
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Article Overview
This article discusses ICD-10 diagnosis coding readiness as the post-implementation grace period winds down. It focuses on practice preparation, internal review, documentation specificity, denial management, and staying current with CMS and payer guidance. The guidance is aimed at physicians, coders, billers, administrators, and consultants responsible for maintaining compliant and accurate diagnosis coding workflows.
Why This Topic Matters
It helps practices understand why ICD-10 coding processes may need closer attention after the initial transition period and what operational areas should be reviewed to reduce denials and revenue disruption.
Article Sections
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Transition overview and upcoming CMS changes
Introduces the ICD-10 transition context and describes upcoming CMS changes that may affect diagnosis code specificity and claims processing.
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How to avoid ICD-10 denials
Outlines broad readiness concerns for practices and emphasizes the need to assess current coding processes before stricter review begins.
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Take steps to step up ICD-10 accuracy
Covers general self-assessment questions, information gathering, and ways practices can stay informed about coding updates and specialty-specific changes.
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More tips for success in ICD-10
Discusses operational practices that support more consistent documentation, coding communication, and workflow review.
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Emphasizing denials and follow-up
Focuses on denial monitoring, internal tracking, communication with payers, and assigning responsibility for follow-up activities.
What You Will Learn
- How the end of the ICD-10 grace period may affect diagnosis coding review
- What areas of a practice workflow should be reviewed for ICD-10 readiness
- How to stay informed about CMS and payer coding updates
- Why documentation specificity and internal auditing matter for claims processing
- How denial tracking and follow-up can support ongoing coding improvement
Who Should Read This
- Physicians
- Practice administrators
- Medical coders
- Billing personnel
- Healthcare consultants
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