Five tips to audit coders for compliant claims
Health Care Auditing Strategies, September 1, 2008
This is an excerpt from a member only article. To read the article in its entirety, please login.
Physician documentation plays a big part of the billing process in medical facilities. But no matter how clear and concise the documentation, a payer might still deny a claim due to mistakes made by coders and data entry staff members.
Don’t rely solely on the interview process or the reference check that a coder performs high-quality work or that he or she knows how to code for a particular specialty. “Without any monitors over the quality of the work, you really don’t know,” says Joe Rivet, CPC, CCS-P, CICA, a regulatory specialist at HCPro, Inc., in Marblehead, MA.
This is an excerpt from a member only article. To read the article in its entirety, please login.
Comments
0 comments on “Five tips to audit coders for compliant claims ”
Related Products
-
Auditing Evaluation and Management Services
Auditing Evaluation and Management Services is an essential tool to ensure audit success and E/M compliance. This second...
-
Coding Manager Orientation Kit
Get the know-how to manage a first-class coding department Whether you are new to the role of Coding Manager, transitioning...
-
Revenue Cycle Digital Library - Coding - Single User Access
A searchable, Web-based resource that provides online access to HCPro’s expertly developed coding books and newsletters.
-
Revenue Cycle Digital Library - ICD-10 - Single User Access
A searchable, Web-based resource that provides online access to HCPro’s expertly developed ICD-10 books and newsletters.
-
Coding and Billing for Outpatient Rehab Made Easy:
Take the confusion out of coding and billing for outpatient rehab and ensure you receive accurate reimbursement for the...
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- Q&A: Primary, principal, and secondary diagnoses
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- OB services: Coding inside and outside of the package
- Skills of effective case managers
- Implications of CMS Changes to H&P Requirements
- Neurological checks for head injuries
- E-mailed
-
- Correctly code for new cardiac, pulmonary rehab benefits
- TJC spilling too many beans? CMS thinks so
- Tip: Coding pressure ulcers in ICD-10-CM
- Q/A: Revenue codes for drug charges
- Q&A: Bill blood administration the same way for inpatient and outpatient accounts
- OB services: Coding inside and outside of the package
- Neurological checks for head injuries
- Know the medical gas cylinder storage requirements
- Ensuring clear and concise documentation critical for case managers
- Coding Clinic for CDI:Reassessing debridement documentation
- Searched
