{"id":265,"date":"2011-08-18T06:36:04","date_gmt":"2011-08-18T06:36:04","guid":{"rendered":"http:\/\/www.ecareindia.com\/blog\/?p=265"},"modified":"2016-06-29T12:03:15","modified_gmt":"2016-06-29T12:03:15","slug":"clinical-documentation-needs-of-icd-10","status":"publish","type":"post","link":"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/","title":{"rendered":"Clinical documentation needs of ICD-10"},"content":{"rendered":"<div class=\"wp_plus_one_button\" style=\"margin: 0 8px 8px 0; float:left; \"><g:plusone href=\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\" callback=\"wp_plus_one_handler\"><\/g:plusone><\/div><p>Clinical documentation is an integral part of health Information Management. The clinical documentation needs doesn\u2019t end with diagnosis and treatment of patients. It is also needed for efficient <a href=\"http:\/\/www.ecareindia.com\/\"><strong>medical claims processing<\/strong><\/a>. Clinical documentation remains the source for the coders to assign the exact diagnosis and procedure codes. Let\u2019s explore more about the dependency on clinical documentation with ICD-10.<!--more--><\/p>\n<p><a href=\"http:\/\/www.ecareindia.com\/blog\/wp-content\/uploads\/2011\/08\/ICD10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-306\" title=\"ICD10\" src=\"http:\/\/www.ecareindia.com\/blog\/wp-content\/uploads\/2011\/08\/ICD10.jpg\" alt=\"\" width=\"200\" height=\"217\" \/><\/a><\/p>\n<ul>\n<li>ICD-10 is an organized coding system that contains more than 150,000 specific \u2018diagnosis and procedure codes\u2019 for diseases. In ICD-10, due to its \u2018specificity\u2019, coding is much dependant on clinical documentation for <a href=\"http:\/\/www.ecareindia.com\/medical-billing.html\"><strong>medical billing<\/strong><\/a> reimbursements. So, the clinical documentation should capture all possible observations including even minute variations in procedure done for patients, which will be captured in coding through specific ICD-10 codes and the claims will get paid for the allotted amount for that procedure. Which means \u2018better the clinical documentation; better will be coding and thus reimbursements\u2019.<\/li>\n<li>It\u2019s essential to evaluate the current clinical documentation procedure of ICD-9 and explore the clinical documentation needs for ICD-10. This GAP analysis will enable better focus to clinical documentation. Claims that are sent on\/after Oct01, 2013 will strongly depend on specificity of clinical documentation.<\/li>\n<li>It is necessary to identify the introduction of new terminologies in clinical documentation and get the coders acquainted with the terminologies to get along with ICD-10 in a faster pace.<\/li>\n<li>Consulting a \u2018clinical documentation specialist\u2019 or recruiting them can help a lot when you start with ICD-10.<\/li>\n<li>When you work with clinical documentation, it is essential to decide on the point of communication \u2013 whom you will contact in case there are discrepancies in clinical documentation.<\/li>\n<li>Improper documentation will not only lead to denials or low reimbursements, but also increase documentation queries and reworks resulting in increase of the <a href=\"http:\/\/www.ecareindia.com\/medical-billing.html\"><strong>medical billing<\/strong><\/a> cycle.<\/li>\n<li>Consulting a \u2018clinical documentation specialist\u2019 or recruiting them can help a lot when you start with ICD-10.<\/li>\n<\/ul>\n<p>Therefore, when implementing ICD-10, clinical documentation should also be given necessary attention so that it will not be a last minute surprise for you.<\/p>\n<div class=\"wp_plus_one_button\" style=\"margin: 0 0 8px 8px; float:right; \"><g:plusone href=\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\" callback=\"wp_plus_one_handler\"><\/g:plusone><\/div><!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<div class=\"wp_plus_one_button\" style=\"margin: 0 8px 8px 0; float:left; \"><g:plusone href=\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\" callback=\"wp_plus_one_handler\"><\/g:plusone><\/div><p>Clinical documentation is an integral part of health Information Management. The clinical documentation needs doesn\u2019t end with diagnosis and treatment of patients. It is also needed for efficient medical claims processing. Clinical documentation remains the source for the coders to assign the exact diagnosis and procedure codes. Let\u2019s explore more about the dependency on clinical &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Clinical documentation needs of ICD-10&#8221;<\/span><\/a><\/p>\n<p><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n<div class=\"wp_plus_one_button\" style=\"margin: 0 0 8px 8px; float:right; \"><g:plusone href=\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\" callback=\"wp_plus_one_handler\"><\/g:plusone><\/div>","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[74],"tags":[82],"class_list":["post-265","post","type-post","status-publish","format-standard","hentry","category-icd-10-clinical-documentation","tag-clinical-documentation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Clinical documentation needs of ICD-10 - ecare India Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Clinical documentation needs of ICD-10 - ecare India Blog\" \/>\n<meta name=\"twitter:description\" content=\"Clinical documentation is an integral part of health Information Management. The clinical documentation needs doesn\u2019t end with diagnosis and treatment of patients. It is also needed for efficient medical claims processing. Clinical documentation remains the source for the coders to assign the exact diagnosis and procedure codes. Let\u2019s explore more about the dependency on clinical &hellip; Continue reading &quot;Clinical documentation needs of ICD-10&quot;\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/www.ecareindia.com\/blog\/wp-content\/uploads\/2011\/08\/ICD10.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"madhumitha\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\"},\"author\":{\"name\":\"madhumitha\",\"@id\":\"https:\/\/www.ecareindia.com\/blog\/#\/schema\/person\/94f394f2e2cceb51f4e63eeb331c17ba\"},\"headline\":\"Clinical documentation needs of ICD-10\",\"datePublished\":\"2011-08-18T06:36:04+00:00\",\"dateModified\":\"2016-06-29T12:03:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\"},\"wordCount\":340,\"image\":{\"@id\":\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/www.ecareindia.com\/blog\/wp-content\/uploads\/2011\/08\/ICD10.jpg\",\"keywords\":[\"clinical documentation\"],\"articleSection\":[\"icd 10 clinical documentation\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\",\"url\":\"https:\/\/www.ecareindia.com\/blog\/clinical-documentation-needs-of-icd-10\/\",\"name\":\"Clinical documentation needs of ICD-10 - 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