2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-2023 ICD-10 and Risk Adjustment Updates

Pdf Summary

The presentation discussed updates to the 2023 ICD-10 codes and risk adjustment in healthcare. It covered various topics including ICD-10 codes pertaining to gastrointestinal conditions, guidelines for coding and documenting to support medical necessity, common ICD-10 questions, and the importance of Z codes in gastrointestinal factors influencing health status. The presenter emphasized the need for accurate documentation and coding to avoid claim denials and ensure appropriate reimbursement. They also discussed the concept of risk adjustment, which is the process by which CMS reimburses Medicare Advantage plans based on the health status of their members. The presenter provided tips for documentation to support accurate risk adjustment coding and how certain co-morbidities and risk factors can impact risk adjustment scores. Overall, the presentation aimed to educate healthcare professionals on the updates to ICD-10 codes and risk adjustment in order to improve coding accuracy and maximize reimbursement.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

2023 ICD-10 codes

risk adjustment

gastrointestinal conditions

coding guidelines

medical necessity

Z codes

claim denials

reimbursement

CMS

documentation