Current Procedural Terminology (CPT) codes and diagnosis codes impact how insurance companies adjudicate claims and determine patient responsibility amounts. Healthcare providers can greatly impact the amount that the patient is liable for based on how services are coded and reported to the insurance company. Hospital and physician office staff who collect money from patients need to understand the basics regarding these procedure codes in order to minimize collection errors up front and reduce the likelihood of credit balances and claim re-work. So how can you help your front desk understand the impact of coding?
Hayes' Healthcare Blog
While ICD-10 migration can sometimes feel like a test to be graded, it’s more of a process to embrace in the name of better patient care. The ICD-10 deadline, despite its delay, is rapidly approaching and with it comes a number enterprise-wide changes. These changes, of course, include your clinical documentation - otherwise known as the key source of patient services. It also communicates why the patient in there in the first place. Clinical documentation affects three key parts of your organization: patient care, healthcare data and reimbursement. How can your organization harness clinical documentation improvement (CDI) to ensure optimization of ICD-10 utilization? We have six recommendations to consider.