Implementation of new ICD-10 codes will lead to increased audits

Implementation of new ICD-10 codes will lead to increased audits

ICD 10 codes went into effect from 1st October 2016. The new codes include 1,974,311 deleted codes, and 425 revised codes. October 1, 2016, also represents the end of the so-called grace period on ICD-10 coding. Before ICD-10 became official on October 1, 2015, Medicare announced it would not deny claims based on ICD-10 codes or documentation as long as the coder selected the right family, or three-character category.




It is now very important to be aware of the changes as using deleted codes will result in denied claims. And if medical coders are unaware of a new or revised code that is more descriptive of a condition, they might miss out on an opportunity to better establish medical necessity for your care.




Due to the above changes, chances of audits have increased which will include heavy scrutiny of ICD-10 documentation because the grace period is over. Now is a good time to conduct internal audits of diagnosis documentation, or seek out training from trusted experts.




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