I received an unsolicited email today announcing a course I can take and/or send my office coders too. Yeah, that's right, we have to hire 'office coders.' They're specialists in this war who know how to probe the enemy's weaknesses to see if there's a way to win payment for services rendered.
The whole war is stupid, adding immensely to the cost of health care - using up dollars that could be either spent on delivering better care, making care accessible to more people who are currently without, or could go to make premiums less expensive.
What's really depressing is that policy makers want to add to the complexity by welding additional code sets to this beast as the measurement system for 'quality.' There is a better way. There exist simple measurement sets that don't come as huge unfunded work loads to already stressed primary care offices. Policy makers should broaden their horizons beyond the usual beltway suspects and at least pilot some of the approaches that have lead practices to improved population health outcomes and experience of care without pouring millions into third party measurement and consultancy empires.
Learn How You Can Save Time, Fight Denials and Win Appeals!
Ever feel like you're constantly battling to get your claims paid? Do confusing coding rules and regulations make it almost impossible to do your job efficiently?
Insurers routinely deny claims and only practices with dedicated staff that follow up on them get the cash they deserve. In fact, recent data shows 67% of claims are overturned resulting in $17 billion in wasted time, effort, and rework.
In these 30 minutes, you'll discover how to:
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- Join ICD-9 and CPT correctly or risk nonpayment
- MUEs strategies that get you paid
- This tool makes complying with CCI edits a breeze
- Tips to get this often overlooked claim box right
- LCDs caused 22.9% denials
- Here's what you should always do
- And much more!
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