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Overview:   Review 6 points of high quality evidence based clinical documentation Review of 7 criteria that all entries in a patient record should include Impact of documentation on coding and claims Impact on audits and ability to defend an audit When an audit is initiated, the completeness of documentation becomes critical in the ability to support what you have reported. Let's take a look at areas in which weaknesses are often found.  Why should you Attend:  The granularity and accuracy of the ICD-10 code set is supported by quality clinical documentation. It is anticipated that payers will increasingly become less flexible in allowing non-specific codes. The use of unspecified codes will likely lead to rejected claims if it is possible to report the more definitive condition. In most cases, unspecified should not be reported unless there is clear evidence to support the inability to report the detailed option.  Is your E & M level supported in the documentation? If you have never experienced scrutiny of your billing patterns by payers and other entities, you may not be aware of weaknesses that lead to recovery of funds or other costly consequences. Your documentation will be key in supporting diagnoses, service codes and acuity of the patient. It is not just payers who engage in audits. Others include State medical boards, Qui Tam and possible reporting of questionable practices by patients. Do your billing patterns and documentation stand up under reporting scrutiny? This presentation will review areas in which you may not be as strong as you think!  Areas Covered in the Session: Significance of abnormal lab results Measurement of lesions, when taken and inclusion of margins Start & stop times & methodology for infusions & discrepancies in billing Diagnostic testing and medications should be supported in a diagnosis Depth of wounds and cause should be clear Severity of illness Diagnosis present on admission? Who Will Benefit: Coders Billers Rev

Overview: As the healthcare industry moves toward a value based reimbursement model rather than fee for service, it is crucial that the provider and ancillary staff understand how ineffective reporting can lead to dollars lost. We will review the 3 critical areas that require skilled management. Understand that patients are more educated about their healthcare and are increasingly responsible for more out of pocket costs. High dollar deductibles may result in self pay realities and bad debt increases. Learn areas that increase your chances for an audit. Are you ready for the challenge? Why should you Attend: Revenue is dependent upon proficiency in multiple areas. In today's environment, it is risky to maintain the status quo and increasingly important to obtain and maintain skilled business staff. The granularity of the ICD-10 code set requires understanding of the official coding conventions and guidelines, the ability to apply those guidelines, and the ability to recognize when reporting may lead to revenue delay, reduction or loss. Additionally, other factors affect your revenue stream. This includes patients with high deductible plans, collection of much more than a small co-pay, and staff understanding of regulations that govern telephone collection activity. Don't leave money on the table or invite an audit into your practice. Audits are often the result of weak billing and coding skills. This program will review several areas that will cost you money if poorly handled. Areas Covered in the Session: Required specificity in coding Documentation necessary for ICD-10 reporting Why coders must frequently query for clarification How ambiguous diagnosis reporting affects you r bottom line Internal collections versus outsourcing. What should you consider Staff effective in handling problem claims? Developing appeals? Who Will Benefit: Coders Billers Revenue cycle Physicians Mid-level providers Nurses Claims follow-up Managers Managers Speaker Profil

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Looking for reliable and accurate medical coding audit services in the US? Our experienced team ensures coding compliance and accuracy, reducing errors and improving reimbursement rates. Enhance your revenue cycle management with our comprehensive services. Contact us today for a free consultation!

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Dive into the world of medical coding audit services and discover how to maximize revenue, ensure compliance, and streamline billing processes! Our comprehensive guide covers everything from the audit process to common challenges, with insights from industry leader Instapay Healthcare Services. Don't miss out - optimize your billing today! Fax:- 9179607960

Are you tired of navigating the complex world of medical coding, searching for affordable solutions without compromising on quality? Look no further! Our latest article dives deep into the realm of ICD, CPT, and HCC coding services, revealing how they can streamline your revenue cycle while keeping costs down. Discover why healthcare providers are turning to us at Instapay Healthcare Services for their coding needs. With our expert team and customized solutions, we ensure accuracy, compliance, and timely reimbursement, all at prices that won't break the bank! Don't let coding challenges hinder your practice's success. Join the countless providers who've chosen us as their trusted coding partner and experience the difference firsthand. Read our article now and take the first step toward optimizing your revenue cycle! Fax:- 9179607960

Ready to revolutionize your healthcare revenue management? Look no further! Discover how Instapay Healthcare Services can optimize your medical coding audits, ensure compliance with CPT coding guidelines 2024, and streamline billing processes. Say goodbye to administrative headaches and hello to efficiency and accuracy! Learn more about our tailored solutions today. Fax:- 9179607960

Overview: Many medical entities are increasingly struggling to manage revenue effectively. Self pay is on the rise due to high deductibles. Bad debt is increasing. What is your plan to manage these areas? Staff trained in denial management? Variances? Are they handling these areas in a timely manner? Payers have time limits in which dollars can be salvaged. Missing those strategic times mean dollars lost. Don't leave money on the table. We will discuss multiple avenues in which strong training and timely action can equal $$$. Why should you Attend: Don't lose hard earned revenue. Learn tips to strategic follow up, when and how to manage the appeal process. Is the claim appealable? Partial payments and why? Today's industry of high dollar deductibles create the necessity to expend additional efforts on self-pay accounts. There is a significant difference in collecting small co-pays and managing large balances. Bad debt creep? What is your plan for managing these areas? Areas Covered in the Session: Hire the right staff - Then engage in ongoing education Variances and denial management Billing compliance Coding for specificity, co-existing conditions and correct modifiers Supporting medical necessity CCI edits and unbundling Productivity Claims follow up Payer processing edits Additional development requests Handling problem claims and appeals Who Will Benefit: Coders Billers Revenue cycle Physicians, mid-level providers Nurses Claims follow-up Managers Speaker Profile Dorothy D. Steed is an Independent Healthcare Consultant and Educator in Atlanta. She was a Medicare specialist for a large hospital system and a physician coding audit supervisor for another hospital system, with 38 years of experience in healthcare. Additionally, she is an instructor at a state technical college in Atlanta, provides auditing & training in both facility and physician services, and has been a speaker at several healthcare conferences. Ms. Steed has written articles for

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Enhance your healthcare organization with our cutting-edge coding and consulting solutions. At Instapay Healthcare Services, we provide personalized guidance and tools to optimize your operations and improve patient care. Contact us today for a consultation! Fax:- 9179607960

Exciting news! Instapay Healthcare Services is now offering highly affordable ICD-10 Coding Services in the US. We understand the importance of accurate coding in healthcare, and our team of experts is here to ensure that your coding needs are met efficiently and effectively. With our cost-effective solutions, you can streamline your coding processes without breaking the bank. Trust Instapay Healthcare Services for reliable and affordable ICD-10 Coding Services. Contact us today to learn more! Fax:- 9179607960