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

Video Transcription

Video Summary

In this video, the speaker provides updates on ICD-10 coding and risk adjustment. They discuss the importance of diagnosis codes and guidelines for submitting them. The speaker highlights the need for specific and accurate coding to support medical necessity. They also address specific coding scenarios and provide examples for different conditions, such as alcohol cirrhosis, ulcerative pancolitis, and GERD, among others. The speaker emphasizes the importance of avoiding nonspecific codes, documenting comorbidities and risk factors, and using appropriate Z codes for social determinants of health and other factors. They also briefly touch on risk adjustment and provide a list of risk-adjusted diagnosis codes. The speaker concludes by mentioning the importance of documentation in supporting accurate reimbursement and risk adjustment. No credits are mentioned in the video.

Asset Subtitle

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

Keywords

ICD-10 coding

risk adjustment

diagnosis codes

specific coding

medical necessity

comorbidities

Z codes