Culbert Blog Improve Revenue by Optimizing Coding Performance

Overview The accuracy of your coding, and the revenue opportunities it presents, is too often an unexplored component of revenue cycle performance and an untapped organizational revenue opportunity. There are a range of issues within and related to coding in provider organizations, with high impact to revenue and profitability. For example: Rules and guidelines change continuously, presenting opportunities for revenue to be realized or foregone. The road to optimal performance requires regular periodic support of your coding team. Current challenges include: Telehealth services; Most providers have dramatically increased telehealth visit volume. As such, telehealth is an area of particular scrutiny by payers, and volatility in terms of coding guidelines and rules. Nevertheless, few providers have complemented this explosion of telehealth business with coding training or claims audits. The risk/reward related to this will continue into the future, as CMS and individual commercial payer rules will continue to evolve over months, not years. In addition, telehealth is set to be a core element of the 2021 OIG workplan, introducing greater risk of fines and penalties. 2021 E&M guidelines; The complete revamping of how E&M claims are to be coded, set to go into effect in 2021, provides another [...]The post Improve Revenue by Optimizing Coding Performance appeared first on Culbert Healthcare - CHS.