Improve Your Medical Coding Quality In 2021

1
Improve Your Medical Coding Quality In
2021
2
Improve Your Medical Coding Quality In 2021
As defined by the Healthcare Financial Management
Association, revenue cycle refers to all
administrative and clinical functions that
contribute to the capture, management, and
collection of patient service revenue. It means,
it take account of the complete patients account
lifecycle, from initial appointment setup to
insurance collection. Current financial year
challenges are like to diagnose and treat
Coronavirus patients, also surge in telehealth
services been observed. Remote staff, which had
been common in other industries, became the norm
for many healthcare workers who had not been
doing remote work previously. This was for
medical coders and medical billers as well. The
main aim of the healthcare practices is to
deliver the best treatment to patients, this is
possible only if administrative functions of a
provider system is working efficiently. When
providers coding is done in the right manner,
claims get processes quickly with fast
reimbursement. On the other hand, if deadlines
are missed, submission are not in proper manner,
and lack of training can result in claim denials
and it will cost to healthcare provider thousands
of dollars in lost or delayed collection. Lets
see how providers can improve medical coding
quality.
3
Improve Your Medical Coding Quality In 2021
Streamline EMR Workflows The volume of charts to
code are always in large quantity and
overwhelming that working denied claims take
carry over. Working on denials is hectic and time
consuming process that require research,
sometimes rework and resubmission all these
activities has tight deadlines. It is important
to educate medical coder about editing practice
management system and rules and regulations to
prevent duplicate errors. Medical Coding managers
have to correct all inadequacies in coding
workflow to get some time to edit and
rework. You should make your EMR workflow
efficient enough with medical coding department
with all required trainings. Providers receive
reimbursement on time if their billing and coding
staff work efficiently with defined task list and
priority. Keep eye on HCC and SDOH As increase
in value-based purchasing and at-risk payment
models has heightened interest in improving the
populations being managed. So, correct coding for
risk factors HCC Coding and SDOH capture has
become more precarious than ever. In 2021,
reducing cost with quality care and avoiding
potential loss of revenue for healthcare
providers means leaving every stone untouched.
4
Improve Your Medical Coding Quality In 2021
The CMS mandates the use of HCC coding to
calculate the reimbursement under Medicare. HCC
coders understand patients demographic factors,
such as age, gender, date of birth, etc. and
current health status to calculate a risk
adjustment factor that regulate the patients
expected healthcare spending for the financial
year. HCC coding will allow providers to receive
satisfactory and fair compensation for treating
patients with risk with value-based care
treatment. Managers must make sure all
stakeholders knows the impact of correct HCC
coding on revenue cycle management. Coding
Compliance Audit Every provider should ensure
coding practices are at par with the stated
guidelines and procedures to prevent denials that
needs additional information for
reimbursement. A coding compliance audit
examines few charts per qualified healthcare
providers to check the accurateness of the
services documented and codes recorded. Carrying
out quality audits highlights areas of
improvement that cause revenue leakage, identify
gaps in knowledge and workflow correction and
expedites claim collection with reduced denials.
5
Improve Your Medical Coding Quality In 2021

• Partner with Best Talent
• Hiring best medical billing and coding company is
  one of the best way to improve your revenue cycle
  management medical coding.
• Benefits of Outsourcing Medical Coding
• Medical Coding staff has all required
  certifications from accredited healthcare
  organizations, including AAPC and AHIMA
• All medical coders has the knowledge of required
  guidelines and know that their role in RCM is
  very significant towards quality assurance.
• All Coders are always observe changes in
  regulations in the healthcare environment and
  learn every day from colleagues
• As a complete RCM partner, MedisysData understand
  that efficient, correct and complete medical
  coding us essential to maintain for increasing
  collection. To know more about our RCM medical
  coding services, please feel free to submit your
  enquiry to schedule a call with our Medical
  Coding experts.

6
(No Transcript)