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 puts hospital surveys on limited hold as surge continues
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- The consequences of an incomplete medical record
- Nursing responsibilities for managing pain
- Skills of effective case managers
- OB services: Coding inside and outside of the package
- ICD-10-CM coma, stroke codes require more specific documentation
- E-mailed
-
- CMS puts hospital surveys on limited hold as surge continues
- Charge and bill Medicare all pre-operative diagnostic tests
- Know guidelines and subtle differences in code descriptions for laceration repairs
- How to create a safety protocol for emergency department psychiatric patients
- Get the facts on emergency department FAST exams
- Understand how to report services during the global period for minor surgeries
- Study: Male residents are twice as likely to interrupt
- Q&A: Report separately payable drugs under revenue code 0636
- Q&A: Mechanical room storage, risk assessments, patient rooms
- Capturing start and stop times for infusions
- Searched