Contexo Media Introduces Best Practices for ICD-10-CM Documentation and Compliance

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Understanding the new ICD-10 documentation requirements is vital to a successful transition to ICD-10.

In order to support the increased specificity required for the new ICD-10 codes, more specific documentation is needed. The type of additional documentation is dependent on the physician practice and specialty or type of facility and the types of conditions, diseases, and injuries that are commonly evaluated and treated. However, regardless of the setting or physician specialty, more specific documentation will be required to provide medical coders with the detail needed to assign the most specific ICD-10-CM diagnosis code.

Having sufficient documentation to allow assignment of the most specific ICD-10-CM diagnosis code(s) is critical in supporting medical necessity and obtaining appropriate and timely reimbursement from payers. That is why facilities and physician practices will need to review documentation and correct any documentation deficiencies prior to ICD-10 implementation.

Contexo Media presents a new book that addresses the documentation analysis phase of ICD-10-CM coding and provides all of the tools required for an effective documentation analysis and corrective action plan. The 2012 Best Practices for ICD-10-CM Documentation and Compliance book identifies the additional ICD-10-CM documentation requirements using detailed checklists for all required documentation elements and examples of documentation from medical/health records.

“Physicians and other health care providers are aware of the challenges related to ICD-10 implementation. One concern is the greater specificity of ICD-10-CM codes and the need for additional documentation. Best Practices for ICD-10-CM Documentation and Compliance provides information on how to review medical records and what documentation elements to look for. The checklists will help providers quickly identify documentation deficiencies relevant to their practice and specialty so that they can be addressed prior to implementation of ICD-10,” says Lauri Gray, CPC, RHIT, clinical technical editor for Contexo Media.

Features of this book include: a comprehensive review of each ICD-9-CM chapter and the corresponding ICD-10-CM chapter with identification of diagnoses/conditions/injuries requiring additional documentation; an ICD-9-CM to ICD-10-CM comparison of code categories, sub- categories, and codes requiring more specific documentation; scenarios showing required documentation in ICD-10-CM with the additional documentation elements highlighted; end of chapter quizzes; and specialty-specific documentation checklists for many frequently treated diseases, conditions, and injuries.

Additionally, Contexo Media has released a variety of new and updated 2012 and 2013 products on ICD-10, ICD-9, CPT® coding, HCPCS Level II coding, Medicare billing and compliance, specialty coding and more. Visit to learn more.

About Contexo Media
Contexo Media, an Access Intelligence company, is an independent provider of revenue-enhancing solutions for medical practices to maximize their coding, reimbursement and compliance efforts. Thousands of health care professionals rely on Contexo Media’s coding books, software, eLearning and educational workshops to stay on top of critical updates across the fast-changing medical landscape.

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Kristine Keller
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