Assessing compliance risks with ICD-10-CM reporting

Why This Topic Matters

The topic matters because ICD-10-CM reporting can affect compliance exposure, audit findings, and documentation integrity. The article helps readers recognize broad risk areas and understand the kinds of oversight and monitoring emphasized in healthcare compliance programs.

Article Sections

1. Common compliance issues

   Introduces general healthcare compliance concerns and the types of organizational risks commonly discussed in compliance programs. Also references oversight and enforcement organizations that inform compliance expectations.

2. Tying in ICD-10-CM reporting compliance

   Connects general compliance concepts to ICD-10-CM reporting and identifies broad inpatient risk areas that have drawn audit attention. The section also discusses documentation, coding, and CDI process concerns at a high level.

3. Getting ahead of the risk

   Summarizes general approaches for reducing compliance risk through oversight, education, monitoring, policies, and review of external guidance. It emphasizes ongoing program support and professional ethics.