Certified Revenue Cycle Representative (CRCR) Practice Exam

Which of the following is NOT an outcome of detailed ICD-10 coding for leadership and physicians?

1. Drive significant improvements in quality and patient experience

2. Embrace new reimbursement models

3. Improve outcomes

4. Obtain higher compensation for physicians

The correct answer is: Obtain higher compensation for physicians

The focus of detailed ICD-10 coding is primarily on enhancing the accuracy and specificity of diagnoses, which plays a crucial role in various aspects of healthcare management. One of the key benefits is driving significant improvements in quality and patient experience, as precise coding allows for better tracking of patient conditions and treatment effectiveness. This directly impacts the quality of care delivered and the patient's experience within the healthcare system. Moreover, the adoption of new reimbursement models, such as value-based care, is significantly influenced by accurate coding. When healthcare providers utilize ICD-10 codes effectively, they can better align their services with the new reimbursement structures that reward quality and efficiency rather than volume. Additionally, improved outcomes arise from thorough and precise coding, as it enables healthcare providers to identify trends in patient health, track progress, and tailor treatments accordingly. This, in turn, contributes to a more informed approach to patient care and enhances overall health outcomes. The choice regarding obtaining higher compensation for physicians is more complex and is not a direct outcome of improved ICD-10 coding alone. While better coding can indirectly enhance revenue by improving the accuracy of claims and reducing denials, it does not guarantee higher compensation. Compensation often depends on various other factors, including contractual agreements, quality metrics, and performance evaluations. Thus