tci Outpatient Facility Coding Alert - 2017 Issue 11

You Be the Coder: 3 Tips for Revising Documentation Templates Quickly

Question: The new ICD-10 codes have been here since October 1, 2107, and we haven't gotten around to revising our documentation templates. More than ever before, our ability to assign the correct codes depends on clinical documentation improvement (CDI). Do you have any tips on revising the documentation templates we provide for our clinical staff? HOPD Administrator in North Carolina Answer: Well-designed templates help providers document all the clinical information necessary for coders to assign the correct ICD-10 codes. As just one example, ICD-10 2018 contains new specificity in the N63.XX (Unspecified lump in breast) series. Providers who...

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