Why Your EHR System Might Get You Audited: ICD-10 Dropdown Menu Fails

  • by Margaret Klasa DC, APN BC
  • Mar 15, 2017, 13:48 PM
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The ICD-10 transition was completed over a year ago.  Most providers and payers have ironed out technical and coding proficiency issues, yet a persistent problem still lurks in your EHR system. Most EHR systems have drop-down menus in which ICD-10 code choices or search returns are in numerical order where say the fifth digit of 0 – indicating unspecified – is the first return or choice, while the more specific choices are farther down the list. Physicians are often picking the first code that appears in the drop-down menu creating potential for claims to be at risk due to continuous submission of unspecified diagnoses.

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EHR vendor software may even lack a second drop-down menu to select manifestations.  Take diabetes for example. There are over 250 ICD-10 codes for diabetes and lot of EHR vendors may not even provide an option to select any manifestations.

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Does this mean that your EHR vendor is trying to make things more difficult? The answer is no. Most lists are in some kind of order – whether numerical or alphabetical. Drop-down lists may not even have most used codes by the physician, most searched codes or “favorite” codes, they are simply a list based on search criteria with no extra design for usage.

The solution to correct ICD10 selection that minimizes audit risk and facilitates correct coding can be found at Context 4 Healthcare. Let us help you by contacting us.

Contact Context4
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