Resolve current challenges to ease the future with ICD-10-CM

Why This Topic Matters

The article helps organizations identify common workflow gaps that can affect diagnosis coding quality, claim accuracy, and billing efficiency during an ICD-10-CM transition.

Article Sections

1. Update encounter or superbill forms

   Discusses reviewing patient-facing forms and related documentation workflows ahead of ICD-10-CM. It emphasizes general documentation completeness and the effect of form design on coding and claims processing.

2. Know your top 25

   Covers identifying frequently reported diagnoses and building internal cross-reference resources for staff and providers. It also addresses reviewing existing documentation patterns and updating templates and messaging.

3. Garbage in, garbage out

   Explains the general relationship between input quality, coding accuracy, and claim outcomes. It references CMS guidance and the importance of working from documented information.

4. Check on the front end

   Focuses on registration and eligibility workflow issues that can affect downstream claims. It covers general front-office data collection, insurance verification, and related administrative steps.

5. Last but not least

   Summarizes broader readiness themes such as quality focus, communication, audits, electronic tools, and team coordination. It presents organizational reminders for a smoother transition to ICD-10-CM.