Why PCPs Should Focus on Coding and Documentation in Value-Based Care Programs

Each year, a growing number of providers are entering value-based care arrangements, including primary care providers (PCPs). Given their holistic view of patients, PCPs are the best types of clinicians to drive value-based care. By making documentation and coding activities a physician-driven priority in their practices, PCPs can receive the payments they need to close care gaps, leading to better outcomes and ultimately value-based care success.

Proper documentation isn’t simply good practice; it is critical for value-based care. PCPs in value-based care arrangements must comply with reporting standards for risk adjustment and quality of care that require more detail than simple claims submission rules under fee-for-service models. This robust documentation, combined with appropriate ICD-10-CM coding, provides a comprehensive view of the patient, which leads to better and more cost-effective care — the marks of successful value-based care.