Uploaded on Apr 9, 2020
Data & Analytics usage has made easy for the payers to identify coding and other “outliers” and in return, track for audits. With a stated goal of recovering over $2 billion in “incorrect payments” it’s a bit more critical than ever for practices to be in compliance. A good tax expert on your team can also reduce accounting errors and other red flags, many practices commit documentation and management mistakes that can lead straight to the auditor’s office.
Avoid these 8 Steps to Reduce your Medical Coding Audit Risks
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL
CODING AUDIT RISKS
Data & Analytics usage has made easy for the payers to identify
coding and other “outliers” and in return, track for audits. With a
stated goal of recovering over $2 billion in “incorrect payments” it’s a
bit more critical than ever for practices to be in compliance. A good
tax expert on your team can also reduce accounting errors and other
red flags, many practices commit documentation and management
mistakes that can lead straight to the auditor’s office.
http://www.247medicalbillingservices.com
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL
CODING AUDIT RISKS
But there are ways to reduce those errors and reduce audit risks in your
medical practice:
• Avoid the overuse of Levels 4 and 5 in E/M Codes:
• The billing department’s responsibility is to avoid under-coding for E/M
(Evaluation and management) visits, as well as the overuse of level 4 (care
for established office patients) and 5 (care for established patients being
seen in the office).
• Avoid errors with an independent audit:
• Your claim procedures often audited by an outside contractor may result in
medical billing errors as well as it keeps adhered to compliance regulations
while improving recovery.
• Avoid crowding with patient’s information:
• When you are using templates in EHR (Electronic Health Record) systems,
there’s this risk of crowding it with the information of a previous patient.
• Avoid an overlook on patient’s and employee’s needs:
• Maintaining a standard for employee performance assures further that
practice tasks and services will help avoid confusion, and mistakes which can
lead to audits if not rectified.
http://www.247medicalbillingservices.com
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL
CODING AUDIT RISKS
• Avoid an ignorant attitude regarding your business plan:
• Many practitioners give the business concept merely on words; they believe
that the problem will be taken care by itself by allotting the tasks to
competent office help along with a tax expert while they focus their attention
on delivering care.
• Avoid Inappropriate Use of Modifiers:
• Modifiers are added to the HCPCS (Healthcare Common Procedure Coding
System) or CPT( Current Procedural Terminology) codes to identify why a
doctor or other qualified healthcare professional provided a specific care and
procedure.
• Avoid the insufficient documentation process:
• As organizations acquire practices and open new clinics, the number of
outpatient care locations increases.
http://www.247medicalbillingservices.com
AVOID THESE 8 STEPS TO REDUCE YOUR MEDICAL
CODING AUDIT RISKS
About 247 Medical Billing Services:
We are a medical billing company that offers ‘24/7
Medical Billing Services’ and support physicians, hospitals,
medical institutions and group practices with our end to end
medical billing solutions. We help you earn more revenue with our
quick and affordable services. Our customized Revenue Cycle
Management (RCM) solutions allow physicians to attract
additional revenue and reduce administrative burden or losses.
Contact:
247 Medical Billing Services
Tel: +1 888-502-0537
Email: [email protected]
http://www.247medicalbillingservices.com
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