Using deprecated or inactive ICD-10 codes in medical billing can lead to claim denials, delayed reimbursements, and administrative headaches. The Centers for Medicare and Medicaid Services (CMS) regularly updates the ICD-10 code set to reflect new medical practices, emerging health trends, and updated technologies. Failing to keep up with these changes can hurt your revenue cycle and increase administrative burdens.
Why Deprecated ICD-10 Codes Cause Denials
When an outdated diagnosis code is used, payers reject the claim, as the code is no longer considered valid. This results in:
- Delayed Reimbursements: Claims with outdated codes are denied or require reprocessing, slowing down payments.
- Higher Administrative Costs: Staff must identify, correct, and resubmit claims, increasing workload and costs.
- Reduced Productivity: Time spent on denied claims takes resources away from patient care and operational efficiency.
- Financial Strain on Your Practice: Cash flow issues limit investments in staff, equipment, and technology, ultimately affecting patient care.
How to Prevent ICD-10 Code Denials
To avoid costly claim denials, follow these proactive steps:
Regularly Check ICD-10 Code Updates
Monitor official sources like CMS and AAPC’s ICD-10 portal to stay informed on new, deleted, and modified codes.
Verify Codes Before Submission
Cross-check codes with the latest ICD-10 manual or coding resources to ensure accuracy before submitting claims.
Update Your EHR and Practice Management Systems
Ensure that your electronic health records (EHR) and billing systems are consistently updated with the latest ICD-10 codes.
Provide Ongoing Staff Training
Educate your coding and billing teams on the importance of using current codes to prevent errors and denials.
Claims Med: Your Solution for Seamless Coding & Billing
Keeping up with ICD-10 changes can be overwhelming, but Claims Med is here to help. Our expert team offers:
- Comprehensive coding audits to identify outdated codes
- Denial management and claims resubmission support
- Staff training on the latest coding updates
- End-to-end revenue cycle optimization to maximize reimbursements
Avoid costly claim denials! Contact Claims Med today for expert support in ICD-10 coding compliance and revenue cycle management.