ICD-10-CM Diagnosis Coding Services

Primary Diagnosis Coding · Services Include

ZechionMed determines and assigns the diagnose code, which reflects the primary reason for patient's admission, encounter, or treatment.

• Principal diagnosis recognition
• Analysis of the reason for a visit
• Review of documentation
• Assessment of clinical indicators
• Code sequencing validation
• Review of specific diagnostic requirements for the payer.

Primary Diagnosis Coding · Benefits

• Improves claim accuracy
• Reduces coding errors
• Provides the appropriate amount of payment
• Reduces the need for medical assistance

Secondary Diagnosis Coding · Services Include

A thorough secondary diagnosis report ensures the most relevant clinical conditions that affect patients' care are documented.

• Additional condition identifier
• Comorbidity reports
• Coding for risk factors and complications
• Multiple diagnosis sequencing
• Documentation-supported code assignment

Secondary Diagnosis Coding · Benefits

• Improves representation of patient complexity
• Supports risk adjustment models
• Enhances quality reporting accuracy
• Reduces the risk of undercoding

Chronic Condition Coding

Chronic Conditions Supported Chronic illnesses require continual monitoring and precise reporting to assist in managing health of the population and reimbursement based on value.

• Diabetes mellitus
• Hypertension
• Cardiovascular diseases
• Chronic kidney disease
• COPD
• Asthma
• Obesity
• The causes of cancer
• Neurological disorders
• Arthritis and autoimmune disorders

Chronic Condition Coding · ZechionMed Approach

• Identifies chronic and active illnesses
• Reviews documentation specificity
• Follows the ICD-10-CM guidelines
• The system supports Hierarchical Condition Category (HCC) accuracy
• Improves risk adjustment capture

Acute Condition Coding · Services Include

ZechionMed provides precise coding assistance for minor injuries, illnesses and medical emergencies that require immediate attention.

• Acute diagnosis identification
• Coding for injuries
• Coding of infections
• Emergency condition codes
• Hospital code for encounters
• Validation of treatment-related diagnoses

Acute Condition Coding · Benefits

• Faster claim processing
• Accuracy of clinical diagnosis improved
• Payer disputes are less frequent
• Better documentation alignment

Medical Necessity Validation · Validation Includes

Validation of medical necessity ensures that diagnostic codes that are precise to provide the necessary services, procedures and treatments that are offered.

• Review of the relationship between diagnosis and service
• Analysis of the justification for a procedure
• Medical necessity of the payer
• Completeness review of documents
• Analysis of denial prevention

Medical Necessity Validation · Helps Reduce

• Claim denials
• Downcoding risks
• Audit exposure
• Infractions to the law

Documentation-Based Code Selection

Process Includes ZechionMed uses a documentation-first method to ensure that codes are only assigned if they are supported by the documentation of the provider.

• Review of medical records
• Physician documentation analysis
• Clinical terminology definition
• Evaluation of the specificity
• ICD-10-CM code selection
• Verification of compliance

Documentation-Based Code Selection · Focus Areas

• Most supported and highest-quality specificity
• Correct code hierarchy
• Accurate diagnosis of disease
• Complete diagnosis reporting

For Hospitals & Health Systems

• Accurate diagnosis has been improved
• Better reimbursement support
• Reduced compliance risk
• Enhanced clinical data quality
• Increased efficiency of operations

For Physician Practices

• A lesser administrative burden
• Faster claim readiness
• Better documentation utilization
• Lowered costs for coding
• Better revenue cycle performance

For Specialty Healthcare Organizations

• Expertise in coding specialized to the needs of
• Support for complex diagnosis
• Better compliance with payers
• Better risk adjustment outcomes