Medical professionals are always concerned about healthcare fraud and with the impending ICD-10 transition, this concern increases. Detection relies on complex algorithms to detect outliers in claims data, but the concern is that ICD-10 may challenge these algorithms and render them less than efficient.

This interesting information was found on Becker’s ASC Review in their article, “ICD-10 May Impede Healthcare Fraud Detection.” It seems that more and more concerns around ICD-10 keep surfacing. This is understandable, since the codes will be multiplied by five after all is said and done. That is a lot of change to handle. And that makes training even more important. That is why Access Innovations, Inc. provides training to a client’s staff and then offers quality assurance and validation services that can:

  • Minimize the risk of a coding error
  • Identify inappropriate or inadvertently applied tags
  • Display a “map” of coding distributions to allow management to get a bird’s-eye view of the coding assignment flow.

Melody K. Smith

Sponsored by Data Harmony, a unit of Access Innovations, the world leader in indexing and making content findable.