Clinical Documentation Improvement
Clear, thorough, and descriptive outpatient medical coding documentation is the cornerstone of proper reimbursement and patient care. Here are the essential documentation guidelines for outpatient medical coding, drawing on our own best practices and industry expertise.
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There is a notable scarcity of compliance plans specifically tailored for provider-entered charges. We address this gap and provide a comprehensive framework for implementing robust charge entry compliance plans for physician groups.
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How do you shape the future of an accurate Inpatient, Outpatient, or Profee coder? With several best practices that have been thoroughly tested by a team of real-world coding and auditing experts who have 20+ years’ experience in HIM.
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The challenge of coding uncertain diagnoses in the complex Inpatient landscape looms large, demanding a nuanced approach to ensure accuracy and compliance. Review our specialized services to help you navigate uncertainties in the coding process.
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Physician queries serve as a bridge for healthcare providers and medical coders to communicate effectively. To make sure medical records are correctly coded, it’s important to understand physician query guidelines and utilize these query best practices.
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Healthcare organizations need to put the focus back on medical coding compliance and offer their teams effective strategies to get coding inaccuracies and inefficient claims management under control. Here are several coding compliance strategies to try this quarter for your organization’s clinical documentation improvement and bottom line.
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There are myriad benefits to performing regular medical coding compliance audits. In order to have a successful audit process, coders must feel like their voices are heard. We’ve compiled these strategies to help empower the coding team during the next audit.
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ED claims denials are a common occurrence in medical facility coding and billing when the payers (or insurance providers) deny a claim for reimbursement. This article dives into the most common causes for these denials, how to prevent them with denial management services, and related topics, such as ANSI codes and the definitions of appeal versus rebill.
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Given that severe malnutrition MCCs increase the dollar amount in Medicare reimbursements, overcoding is a potential risk for all healthcare organizations. Review our recent case study findings where we present compliance, standardization, and improvement opportunities to one client hospital.
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Medical necessity denials can’t be ignored, as they can lead to significant revenue loss and compliance issues. These best practices for clinical documentation improvement, education, and standardization will help providers overcome their medical necessity denials.
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