Coder Mentoring
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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To successfully navigate the future – and be prepared for anything – healthcare organizations need to craft a strategic plan. A strategic plan is beneficial for everyone: It allows the company owner to identify potentially fruitful goals, and it helps the employees foster that growth.
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Year by year, organizations rely more and more on their data analytics. In this article you will be provided with: An overview of key statistics to include in your coding compliance audits, a Questionnaire to determine if you need a coding compliance audit program…
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Every year, the Centers for Medicare & Medicaid Services (CMS), and the American Medical Association (AMA) release updated coding and reporting guidelines that make additions, deletions, and revisions to the ICD-10 and HCPCS code sets, and CPT codes, respectively. During Public Health Emergencies (PHE), such as the COVID-19 pandemic, CMS and AMA will release updates more frequently. By offering ongoing medical coding training to cover these annual updates, your coding team upholds an accuracy standard and stays compliant with these revised guidelines. YES Education offers a robust catalog of medical coding updates that refreshes as the code set revisions are released, including annual updates for ICD-10-CM/PCS and CPT.
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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 onboarding process for new remote medical coders and auditors plays a pivotal role in their future and success. If the organization does not invest time to properly train them, the new hire – and the organization itself – is being set up for failure.
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The risks of inaccurate professional fee coding could be detrimental to your organization’s revenue and overall success. Follow these steps to eliminate those risks and save your bottom line.
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A mentorship program for medical coders is a quality improvement process where an experienced medical auditor reviews a new HIM professional’s work and guides them through the process. The mentor helps the learner understand the selection process based on the provided documentation.
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One of the biggest revenue-killers for healthcare providers is DNFB accounts. DNFB (DNFB meaning “discharged, not final billed”) – defines unbilled accounts where the patient has been discharged from the healthcare facility, but the final bill from the encounter has not been submitted. The cost effects of outstanding DNFB accounts and claims denials are staggering, and can negatively impact the providers’ cash flow and potential net revenue. So, what are the best practices to reduce DNFB days and claims denials?
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Bolstered with the right data, medical coder performance evaluations can be an empowering tool for your organization’s coding team. Performance reviews that have been fueled by research from coding compliance audits will only help coders improve and increase engagement with the organization.
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