Which practice helps ensure claims remain compliant when coding changes are updated?

• A. Rely on outdated manuals.
• B. Ignore updates until a denial occurs.
• C. Regularly review payer policies and update ICD-10-CM/CPT codes in the system.
• D. Schedule annual training sessions.

Answer: (C)

Keeping claims compliant when coding changes are updated hinges on actively monitoring and applying those updates to codes and payer policies. Regularly reviewing payer policies and updating ICD-10-CM and CPT codes in the system ensures you’re using current codes that align with what payers require and with the latest coding conventions. This proactive approach reduces denials due to outdated codes, supports accurate documentation, and helps ensure proper reimbursement as codes and policies evolve.

Relying on outdated manuals leaves you with obsolete guidance that doesn’t reflect recent changes, increasing the risk of noncompliant claims. Waiting for a denial to act means you’re reacting rather than preventing issues, which can delay correct payments. Scheduling annual training is helpful but may not keep pace with frequent updates or ensure the system itself is updated; ongoing monitoring and timely updates are essential.