To help you improve your use of ICD-10 codes, the Centers for Medicare & Medicaid Services (CMS) offers the Next Steps Toolkit. The toolkit can help you:
- Identify key metrics to track for accurate ICD-10 assessment
- Manage your revenue cycle
Use these steps to analyze your ICD-10 progress:
Establish a point of comparison for each KPI you would like to track. Your goal should be to compare KPIs from before and after the October 1, 2015, transition date.
CMS provides a fact sheet focused on KPIs to help you better understand how to analyze and track your ICD-10 progress. This fact sheet includes a list of KPIs that may be helpful to your practice, such as days to final bill and claims denial rate.
Once you have identified opportunities for improvement, you can develop a feedback system to:
- Improve the accuracy of your clinical documentation and code selection
- Check for any systems issues
- Resolve system problems with payers
ICD-10 updates take place annually on October 1, following the same timeline used for ICD-9 updates. Be sure to keep all your systems and coding tools updated.
Review the General Coding Guidelines on a regular basis. Separate official guidelines are available for: